Healthcare Provider Details

I. General information

NPI: 1700023769
Provider Name (Legal Business Name): LENTZ METRO PUBLIC HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2009
Last Update Date: 01/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 23RD AVE N
NASHVILLE TN
37203-1503
US

IV. Provider business mailing address

311 23RD AVE N
NASHVILLE TN
37203-1503
US

V. Phone/Fax

Practice location:
  • Phone: 615-340-5607
  • Fax:
Mailing address:
  • Phone: 615-340-5607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License NumberRN0000166771
License Number StateTN

VIII. Authorized Official

Name: DR. WILLIAM PAUL
Title or Position: DIRECTOR
Credential:
Phone: 615-340-5622