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Individual

DR. KENNETH JOHN LENTZ JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
193 WALNUT AVE, SPRUCE PINE, NC 28777-2738
(828) 765-4349
(828) 765-6247
Mailing address
PO BOX 665, SPRUCE PINE, NC 28777-0665
(828) 765-7788
(828) 765-6247

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0983
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22-09157
US HEALTH CARE
NC
05
8909545
NC
Enumeration date
08/11/2005
Last updated
07/08/2007
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