Organization
LENTZ PEDIATRICS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN D LENTZ MD (PHYSICIAN)
(731) 664-9040
Entity
Organization
Contact information
Practice address
10777 HIGHWAY 412 W, LEXINGTON, TN 38351-6283
(731) 968-5558
(731) 968-5567
Mailing address
19 SECURITY DR, JACKSON, TN 38305-3626
(731) 664-9040
(731) 664-9041
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
31704
TN
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1503415
—
TN
Enumeration date
01/07/2008
Last updated
01/13/2025
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