Provider Demographics
NPI:1932072238
Name:LENZENHUBER, COURTNEY JO (RN)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:JO
Last Name:LENZENHUBER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9731 WILDERNESS BATTLE DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63123-4367
Mailing Address - Country:US
Mailing Address - Phone:314-629-1111
Mailing Address - Fax:
Practice Address - Street 1:10627 MIDWEST INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63132-1220
Practice Address - Country:US
Practice Address - Phone:314-629-1111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2025023782163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty