# LENTZ PEDIATRICS, PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467637611
- **Authorized official:** MR. JONATHAN D LENTZ MD (PHYSICIAN)
- **Authorized official phone:** (731) 664-9040

## Contact information

- **Practice address:** 10777 HIGHWAY 412 W, LEXINGTON, TN 38351-6283
- **Practice address phone:** (731) 968-5558
- **Practice address fax:** (731) 968-5567
- **Mailing address:** 19 SECURITY DR, JACKSON, TN 38305-3626
- **Mailing address phone:** (731) 664-9040
- **Mailing address fax:** (731) 664-9041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 31704 | TN | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/07/2008
- **Last updated:** 01/13/2025