Healthcare Provider Details

I. General information

NPI: 1548330152
Provider Name (Legal Business Name): SARAH DIANE LENTZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 HIGHLAND AVE COMPLIANCE MAIL CODE 2433
MADISON WI
53792-0001
US

IV. Provider business mailing address

600 HIGHLAND AVE COMPLIANCE MAIL CODE 2433
MADISON WI
53792-0001
US

V. Phone/Fax

Practice location:
  • Phone: 608-662-0817
  • Fax:
Mailing address:
  • Phone: 608-662-0817
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number10975-040
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: