Provider Demographics
NPI:1235410788
Name:LENNERTZ, NATALIA LEE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NATALIA
Middle Name:LEE
Last Name:LENNERTZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 DRAYTON RD
Mailing Address - Street 2:
Mailing Address - City:ORELAND
Mailing Address - State:PA
Mailing Address - Zip Code:19075-2012
Mailing Address - Country:US
Mailing Address - Phone:215-886-1938
Mailing Address - Fax:
Practice Address - Street 1:1456 BETHLEHEM PIKE
Practice Address - Street 2:
Practice Address - City:FLOURTOWN
Practice Address - State:PA
Practice Address - Zip Code:19031-2004
Practice Address - Country:US
Practice Address - Phone:215-836-4243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-29
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP440362183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist