Individual
JACOB LENTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1654 DIFFLEY RD, EAGAN, MN 55122-2202
(952) 967-7477
Mailing address
1654 DIFFLEY RD, EAGAN, MN 55122-2202
(952) 967-7477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
75315
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
06/21/2025
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