Individual
MICHAEL E LENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
5400 GIBSON SE, ALBUQUERQUE, NM 87108
(505) 262-7594
(505) 262-7641
Mailing address
5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108-4729
(505) 262-7960
(505) 232-1368
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
83-PA009
NM
Other
Enumeration date
07/28/2006
Last updated
07/31/2015
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