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General NPI Number Information
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NPI Number | 1538280896
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Entity Type | Organization
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Legal Business Name | KATHY J. LENTZ, M.D. DBA WASHINGTON EYE SURGEONS
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 851 E 5TH ST STE 116
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City | WASHINGTON
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State | MO
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Zip | 63090-3128
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Country | US
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Telephone | 636-239-2008
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Fax | 636-239-4462
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Provider Business Mailing Address
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Address Line | 851 E 5TH ST STE 116
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City | WASHINGTON
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State | MO
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Zip | 63090-3128
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Country | US
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Telephone | 636-239-2008
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Fax | 636-239-4462
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Authorized Official
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Title or Position | OWNER
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Name | KATHY J. LENTZ
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Credential | M.D.
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Telephone | 636-239-2008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | R5B94
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License Number State | MO
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