| Doctor Name: | ALLYSON DIBERT LENZ |
| NPI Number: | 1003161548 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BSN, RN, MSN, FNP-BC |
| License Number: | R190962 |
| Business Practice Address: | 3901 Rainbow Blvd Kansas City, KS - 661608500 |
| Business Phone Number: | 9135886512 |
| Business Fax Number: | |
| Mailing Address: | 14721 Goodman St, OVERLAND PARK |
| State: | KS |
| Postal Code: | 662232162 |
| Phone Number: | 4058028000 |
| Fax Number: | |
| NPI Enumeration Date: | 07/20/2012 |
| NPI Last Update Date: | 05/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R190962 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |