Individual
JASON LENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(952) 831-8742
Mailing address
3407 TERRACE LN, GOLDEN VALLEY, MN 55422-3845
(515) 338-0338
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2568
MN
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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