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Individual

JON WILLIAM PARMLEY LENTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
115 N DUKE ST STE 1B, DURHAM, NC 27701-2187
(919) 286-3453
Mailing address
2034 ENGLEWOOD AVE, DURHAM, NC 27705-4113
(401) 212-6656

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5526
NC

Other

Enumeration date
06/01/2019
Last updated
06/01/2019
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