Individual
DR. MICHAEL LENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, DACNB
Contact information
Practice address
106 W OLD MILL RD, FAIR GROVE, MO 65648-8646
(417) 567-2001
Mailing address
PO BOX 434, FAIR GROVE, MO 65648-0434
(417) 567-2001
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2020035056
MO
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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