Individual
CHARLIE LENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
1825 CHICAGO AVE, MINNEAPOLIS, MN 55404-1939
(612) 752-8206
(612) 752-8201
Mailing address
5224 JAMES AVE S, MINNEAPOLIS, MN 55419-1137
(612) 752-8206
(612) 752-8201
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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