NPI 1124587191 · live from the CMS NPI Registry
Evan James Lenertz
Podiatrist, Foot & Ankle Surgery in Hastings, NE. National Provider Identifier 1124587191, active.
NPI record
| NPI | 1124587191 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 306 W 2nd St, Hastings, NE 68901 |
| Practice phone | 402-751-0600 |
| Enumerated | March 18, 2019 |
| Last updated | July 1, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 391 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.