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General NPI Number Information
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NPI Number | 1962853861
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Entity Type | Individual
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Provider Name | LAURENCE LENTZ II M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/22/2016
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | PO BOX 44008
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City | JACKSONVILLE
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State | FL
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Zip | 32231-4008
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Country | US
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Telephone | 904-383-1015
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Fax | 904-244-8172
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Provider Business Mailing Address
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Address Line | 1955 1ST AVE APT 527
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City | NEW YORK
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State | NY
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Zip | 10029-6444
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Country | US
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Telephone | 407-451-3225
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | ME169616
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License Number State | FL
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