Samantha Lynn Lenzendorf

NPI #1386273159 in Waupun, Wisconsin

Provider Information

NPI Number: 1386273159
Entity Type: Individual
Name: Samantha Lynn Lenzendorf
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Apr 3, 2020
Last Updated: Dec 26, 2022

Practice Location

Address: 999 E MAIN ST
City: Waupun
State: Wisconsin
ZIP Code: 53963-2210
Phone: (920) 324-4696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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