Individual
SAMUEL LENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 SHEPHERD ST, WINSTON SALEM, NC 27103-1633
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
23857
NC
207VX0201X
Gynecologic Oncology Physician
Primary
23857
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134ER
BCBS
NC
05
—
220636000
—
WV
01
—
4111925
AETNA
—
05
—
6258212
—
VA
01
—
833
PARTNERS
NC
05
—
89134ER
—
NC
01
—
E3697
MEDCOST
NC
05
—
Q23857
—
SC
Enumeration date
12/07/2005
Last updated
04/17/2026
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