1467637611

Everything you always wanted to know about LENTZ PEDIATRICS, PLC MR. LENTZ D JONATHAN but were afraid to ask.

LENTZ PEDIATRICS, PLC MR. LENTZ D JONATHAN

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Organization Name Authorized Official Prefix Authorized Official Last Name Authorized Official Middle Name Authorized Official First Name
LENTZ PEDIATRICS, PLC MR. LENTZ D JONATHAN
Gender:
none
Enumeration date:
2008-01-07
Last update date:
2013-07-16
Current as of:
2007-08-28
Is sole proprietor?:
Not Answered
Is organization subpart?:
No
In PECOS?:
No

Identifiers

identifier description issuer state active

Taxonomies

Taxonomy State License Number Primary?
208000000X Pediatrics TN 31704

Phone Numbers

Type Number
Mailing Address Telephone Number 7316649040
Practice Location Address Telephone Number 7316649040
Authorized Official Telephone Number 7316649040
Mailing Address Fax Number 7316649041
Practice Location Address Fax Number 7316649041

Addresses

Type Address City State Postal Country
Mailing Address 19 SECURITY DR JACKSON TN 38305 TN
Practice Location Address 19 SECURITY DR JACKSON TN 38305 TN

Other NPI Records that share a phone number

NPI Name Address State City
1174851844 MELTON, ASHLEY
Individual
19 SECURITY DR TN JACKSON
1720361363 CARROLL, CARMEN
Individual
19 SECURITY DR TN JACKSON

Other NPI Records that share an address

NPI Name Address State City
1023281896 WEST TENNESSEE HAND CENTER, PL
Organization
19 SECURITY DR TN JACKSON
1174851844 MELTON, ASHLEY
Individual
19 SECURITY DR TN JACKSON
1720361363 CARROLL, CARMEN
Individual
19 SECURITY DR TN JACKSON