Healthcare Provider Details

I. General information

NPI: 1619264595
Provider Name (Legal Business Name): MEGAN PHILLIPS LENT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2011
Last Update Date: 08/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7901 W 135TH ST
OVERLAND PARK KS
66223-1201
US

IV. Provider business mailing address

5310 HARVEST HILL RD STE 290
DALLAS TX
75230-5826
US

V. Phone/Fax

Practice location:
  • Phone: 913-451-7546
  • Fax: 913-663-2411
Mailing address:
  • Phone: 214-420-0650
  • Fax: 214-736-0512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number125-059901
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: