Provider Demographics
NPI:1265024426
Name:KAUB, LENZI R (DNP)
Entity Type:Individual
Prefix:DR
First Name:LENZI
Middle Name:R
Last Name:KAUB
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 STONE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:GARDNER
Mailing Address - State:KS
Mailing Address - Zip Code:66030-9451
Mailing Address - Country:US
Mailing Address - Phone:913-787-0363
Mailing Address - Fax:
Practice Address - Street 1:621 STONE CREEK DR
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:KS
Practice Address - Zip Code:66030-9451
Practice Address - Country:US
Practice Address - Phone:913-787-0363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-79957-021363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily