Individual
SKYLER ANTHONY LENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-2434
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05405-1718
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
042.0014088
VT
207P00000X
Emergency Medicine Physician
17578
NH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
042.0014088
VT
390200000X
Student in an Organized Health Care Education/Training Program
17578
NH
Other
Enumeration date
04/24/2013
Last updated
11/12/2018
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