Individual
KRISSY M LENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-6100
Mailing address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302037163
MI
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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