Individual
DR. JONATHAN D LENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31704
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
370023799
RAILROAD MEDICARE
—
01
—
3840642
MEDICAID
TN
Enumeration date
06/03/2006
Last updated
04/27/2022
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