Provider Demographics
NPI:1922447473
Name:LENNERTZ, RICHARD CHARLES III (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:CHARLES
Last Name:LENNERTZ
Suffix:III
Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:ANESTHESIA
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-2633
Mailing Address - Fax:319-356-2940
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:ANESTHESIA
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-356-2633
Practice Address - Fax:319-356-2940
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-18
Last Update Date:2021-01-26
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Provider Licenses
StateLicense IDTaxonomies
IAR-9824207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology