| Doctor Name: | MS. MARYBETH S. LENZ |
| NPI Number: | 1740275536 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 090895 |
| Business Practice Address: | 1090 Arnold Dr Little Rock Afb, AR - 720994933 |
| Business Phone Number: | 5019877234 |
| Business Fax Number: | 5019876249 |
| Mailing Address: | 87 Cypress Creek Dr, CABOT |
| State: | AR |
| Postal Code: | 720238199 |
| Phone Number: | 5019411331 |
| Fax Number: | |
| NPI Enumeration Date: | 09/17/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 090895 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |