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Individual

MARK BRUCE LENTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN - STUDENT APRN

Contact information

Practice address
4301 JONES BRIDGE RD, BETHESDA, MD 20814-4712
(240) 565-3808
Mailing address
3812 WEXFORD DR, KENSINGTON, MD 20895-1605
(204) 565-3808

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
111276
IA

Other

Enumeration date
10/28/2018
Last updated
10/28/2018
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