Individual
MR. TIMOTHY R. LENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
23 WABANAKI WAY, INDIAN ISLAND, ME 04468-1252
(207) 817-7400
(207) 817-7459
Mailing address
23 WABANAKI WAY, INDIAN ISLAND, ME 04468-1252
(207) 817-7400
(207) 817-7459
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R023531
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023531
LICENSED FNP
ME
Enumeration date
11/28/2006
Last updated
12/10/2010
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