Individual
LAWRENCE STENTZEL IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
341 E 12TH AVE, EUGENE, OR 97401-3275
(541) 342-8255
Mailing address
341 E 12TH AVE, EUGENE, OR 97401-3275
(541) 342-8255
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50065066
—
OR
Enumeration date
06/24/2019
Last updated
06/24/2019
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