Individual
DEBRA L LENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD MS LD CN
Contact information
Practice address
181 LEES VALLEY ROAD, SHEPHERDSVILLE, KY 40165-0278
(502) 955-7837
(502) 543-2998
Mailing address
PO BOX 278, 181 LEES VALLEY ROAD, SHEPHERDSVILLE, KY 40165-0278
(502) 955-7837
(502) 543-2998
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
KY0209
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0223505
MEDICARE GROUP
KY
Enumeration date
02/10/2006
Last updated
09/07/2007
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