Provider Demographics
NPI:1083200745
Name:FRENZ, LARA (MSW)
Entity Type:Individual
Prefix:
First Name:LARA
Middle Name:
Last Name:FRENZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 W 108TH ST APT 34
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-2938
Mailing Address - Country:US
Mailing Address - Phone:646-247-0858
Mailing Address - Fax:
Practice Address - Street 1:235 W 108TH ST APT 34
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-2938
Practice Address - Country:US
Practice Address - Phone:646-247-0858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management