| Doctor Name: | CRYSTAL ROSE LENZ |
| NPI Number: | 1144510371 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | OS11932 |
| Business Practice Address: | Unit 5142 18th Medical Group Apo, AP - 963685142 |
| Business Phone Number: | 3156304229 |
| Business Fax Number: | |
| Mailing Address: | Psc 80 Box 15462, APO |
| State: | AP |
| Postal Code: | 963670057 |
| Phone Number: | 0111780843 |
| Fax Number: | |
| NPI Enumeration Date: | 04/08/2011 |
| NPI Last Update Date: | 09/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OS11932 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |