Search › Wisconsin › 363A00000X
Jennifer Lenius, PA-C
NPI 1316049943 · on the registry since 2006
Practice
- Address
- 2430 E Mason St
Green Bay, WI 54302 - Phone
- (920) 406-9863
- Organisation at this address
- Shopko Stores Operating Co Llc
Shopko Stores Operating Co. Llc
Shopko Stores Operating CompanyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AS0400X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-01-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin