Individual
LISA LENTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2103 141ST AVE NE, HAM LAKE, MN 55304-6552
(763) 689-5385
Mailing address
2103 141ST AVE NE, HAM LAKE, MN 55304-6552
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4986
MN
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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