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NPI Code Detail

MEDICARE: GRETCHEN M LENTZ

MEDICARE: GRETCHEN M LENTZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianMD00026913WA
2207VF0040XUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianMD00026913WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10231458OTHERWAL&I
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
37099OTHERINTERNAL ID-MOTOR VEHICLE ID

General Provider Information

NPI Number : 1255419610
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRETCHEN M LENTZ
Provider Business Mailing Address
First Line : PO BOX 50095
Second Line :
City : SEATTLE
State : WA
Zip : 98145-5095
Country : US
Telephone Number : 206-543-6420
Fax Number :
Provider Business Practice Location Address
First Line : UNIVERSITY OF WASHINGTON MEDICAL CTR
Second Line : 1959 NE PACIFIC ST
City : SEATTLE
State : WA
Zip : 98195-6158
Country : US
Telephone Number : 206-598-4294
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2006
Last Update Date : 12/12/2013

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Directions to “ GRETCHEN M LENTZ ” Practice Location

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