Individual
DINA MICHELLE LENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
909 5TH ST, COLONA, IL 61241-9795
(309) 373-4884
Mailing address
909 5TH ST, COLONA, IL 61241-9795
(309) 373-4884
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G168732
IA
Other
Enumeration date
05/04/2022
Last updated
09/05/2025
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