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NPI Code Detail

MEDICARE: MRS. KAREN A LENTZ RN-FA

MEDICARE: MRS. KAREN A LENTZ RN-FA
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
1364SM0705XMedical-Surgical Clinical Nurse SpecialistRN9179996FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RN9179996OTHERFLSTATE LICENSE NUMBER
2Y081VOTHERFLBCBS

General Provider Information

NPI Number : 1568446466
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KAREN A LENTZ RN-FA
Provider Business Mailing Address
First Line : 4200 SUN N LAKE BLVD
Second Line :
City : SEBRING
State : FL
Zip : 33872-1986
Country : US
Telephone Number : 863-471-1413
Fax Number : 863-471-1416
Provider Business Practice Location Address
First Line : 4200 SUN N LAKE BLVD
Second Line :
City : SEBRING
State : FL
Zip : 33872-1986
Country : US
Telephone Number : 863-471-1413
Fax Number : 863-471-1416
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 07/08/2007

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