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Individual

DR. JOAN SACKS LENTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
825 NICOLLET MALL, SUITE 845, MINNEAPOLIS, MN 55402-2606
(612) 339-0270
Mailing address
825 NICOLLET MALL, SUITE 845, MINNEAPOLIS, MN 55402-2606
(612) 339-0270

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0170
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30148LE
BLUECROSSBLUESHIELD OF MN
MN
Enumeration date
12/30/2006
Last updated
07/08/2007
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