Individual
JUSTIN LENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2335 S WASHINGTON AVE, TITUSVILLE, FL 32780-4737
(321) 593-0458
Mailing address
2424 METFIELD DR APT 2404, MELBOURNE, FL 32940-5309
(540) 847-9592
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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