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Individual

JENNIFER LYNN MCCABE LENTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
914 W 6TH ST, LOVELAND, CO 80537-5341
(970) 667-3976
(970) 667-8177
Mailing address
1627 E 18TH ST, LOVELAND, CO 80538-4209
(970) 663-0135
(970) 461-1422

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40876
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
17986061
CO
05
8466211
WA
01
P00900106
RAILROAD MEDICARE
CO
Enumeration date
08/31/2006
Last updated
10/24/2011
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