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Individual

LUANN KAY HENTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LP

Contact information

Practice address
120 THIRD AVENUE, FRISCO, CO 80443
(970) 333-0734
(970) 668-3389
Mailing address
32 NORSE LN, 04, KEYSTONE, CO 80435-7660
(970) 333-0734

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0732
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
745052400
MN
01
8F78HE
BLUECROSS/BLUESHIELD
MN
01
928011033387
PREFERREDONE
MN
01
HP51217
HEALTHPARTNERS
MN
Enumeration date
04/10/2006
Last updated
11/11/2010
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