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NPI Code Detail

MEDICARE: ROBYN N LENTZ LMSW

MEDICARE: ROBYN N LENTZ LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker6801091506MI

General Provider Information

NPI Number : 1144519547
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBYN N LENTZ LMSW
Provider Business Mailing Address
First Line : 36975 UTICA RD
Second Line : SUITE 100
City : CLINTON TOWNSHIP
State : MI
Zip : 48036-1685
Country : US
Telephone Number : 586-226-3440
Fax Number : 586-226-8820
Provider Business Practice Location Address
First Line : 36975 UTICA RD
Second Line : SUITE 100
City : CLINTON TOWNSHIP
State : MI
Zip : 48036-1685
Country : US
Telephone Number : 586-226-3440
Fax Number : 586-226-8820
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2011
Last Update Date : 07/30/2012

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