Individual
DR. JONATHAN D LENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10777 HIGHWAY 412 W, LEXINGTON, TN 38351-6283
(731) 968-5558
(731) 968-5567
Mailing address
10777 HIGHWAY 412 W, LEXINGTON, TN 38351-6283
(731) 968-5558
(731) 968-5567
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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