Provider Demographics
NPI:1649582537
Name:LENNERTZ, LINDSAY ELIZABETH (MS)
Entity Type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:ELIZABETH
Last Name:LENNERTZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2215 N NORTHWAY AVE
Mailing Address - Street 2:UNIT 2
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-2816
Mailing Address - Country:US
Mailing Address - Phone:505-717-5150
Mailing Address - Fax:
Practice Address - Street 1:5675 N ORACLE RD
Practice Address - Street 2:STE 3101
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-3885
Practice Address - Country:US
Practice Address - Phone:520-333-3320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-08
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist