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Individual

MRS. CONNIE ANN LENTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2122 HALL AVE, MARINETTE, WI 54143-1721
(715) 735-5078
Mailing address
N2980 N 9TH RD, COLEMAN, WI 54112-9446
(715) 923-5684

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
WI

Other

Enumeration date
08/14/2014
Last updated
08/14/2014
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