Most Relevant Information
Provider Data
| NPI Number: | 1003270828 |
| Provider Name: | MARY LENZ |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/07/2016 |
| Last Updated: | 05/24/2021 |
Provider Practice Location
1625 COLONIAL LN
BRYAN
OH
435069106
Practice Location Phone/Fax
| Phone: | 5672399713 |
| Fax: |
Provider Mailing Location
15898 COUNTY ROAD I
BRYAN
OH
435068504
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |