Healthcare Provider Details

I. General information

NPI: 1134563422
Provider Name (Legal Business Name): JESSICA ANN LENTSCHER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2013
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 FRANCE AVE S STE 400
EDINA MN
55435-2141
US

IV. Provider business mailing address

6565 FRANCE AVE S STE 400
EDINA MN
55435-2141
US

V. Phone/Fax

Practice location:
  • Phone: 952-225-1630
  • Fax: 952-225-1609
Mailing address:
  • Phone: 952-225-1630
  • Fax: 952-225-1609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number202003938
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2020-03938
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number82165
License Number StateMN
# 4
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number28127
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: