Individual
MS. LAURA KAY LENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1215 FULTON ST E, GRAND RAPIDS, MI 49503-3849
(616) 742-0351
(616) 742-0370
Mailing address
1215 FULTON ST E, GRAND RAPIDS, MI 49503-3849
(616) 742-0351
(616) 740-0370
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703041414
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4703041414
LPN LIENCE
MI
Enumeration date
06/18/2019
Last updated
06/18/2019
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