Provider Demographics
NPI:1578690806
Name:LENZI, TIFFANEE A (MD PHD)
Entity Type:Individual
Prefix:
First Name:TIFFANEE
Middle Name:A
Last Name:LENZI
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 MURPHY AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1872
Mailing Address - Country:US
Mailing Address - Phone:615-435-3780
Mailing Address - Fax:615-628-8121
Practice Address - Street 1:2201 MURPHY AVE STE 210
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1872
Practice Address - Country:US
Practice Address - Phone:615-435-3780
Practice Address - Fax:615-628-8121
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN42858207SG0201X, 207V00000X, 207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100022810Medicaid
KYP400033325Medicare PIN
KYP400033326Medicare PIN