Individual
BRYAN EDWARD LENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
4101 S 4TH ST TRAFFICWAY, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Mailing address
4101 S 4TH ST. TRAFFICWAY, LEAVENWORTH, KS 66048
(913) 682-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-79532-051
KS
Other
Enumeration date
07/09/2020
Last updated
10/18/2022
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