Provider Demographics
NPI:1275754251
Name:SCHWARTZ, LENKA (AP, LMT)
Entity Type:Individual
Prefix:
First Name:LENKA
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:AP, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 MARTELLAGO DR
Mailing Address - Street 2:
Mailing Address - City:NORTH VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34275-6603
Mailing Address - Country:US
Mailing Address - Phone:941-320-9898
Mailing Address - Fax:941-925-1815
Practice Address - Street 1:4370 S TAMIAMI TRL
Practice Address - Street 2:SUITE 180
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-3412
Practice Address - Country:US
Practice Address - Phone:941-320-9898
Practice Address - Fax:941-925-1815
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1968171100000X
FLMA33376174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC008JOtherBCBSFL
FLC1758OtherBCBSFL