Individual
DR. ANITA AKIN LENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2302 KENTUCKY AVE, PADUCAH, KY 42003-3244
(270) 575-0977
(270) 575-9793
Mailing address
2302 KENTUCKY AVE, PADUCAH, KY 42003-3244
(270) 575-0977
(270) 575-9793
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1526DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000265430
ANTHEM BCBS PIN
KY
01
—
0007581302
AETNA PIN
KY
05
—
7700047900
—
KY
Enumeration date
02/28/2007
Last updated
03/30/2016
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