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Individual

MONIQUE HOWARD LENTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3633 WHEELER RD, SUITE 110, AUGUSTA, GA 30909-6544
(706) 855-7784
(706) 650-1090
Mailing address
3633 WHEELER RD, SUITE 110, AUGUSTA, GA 30909-6549
(706) 855-7784
(706) 650-1090

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
043686
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00904098A
GA
Enumeration date
06/23/2006
Last updated
02/14/2019
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