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NPI Code Detail

MEDICARE: JOYCE MICHELE LENTZ

MEDICARE: JOYCE MICHELE LENTZ
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
1163W00000XRegistered NurseAPN00352NV
2163W00000XRegistered NurseRN28058NV

General Provider Information

NPI Number : 1609973569
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOYCE MICHELE LENTZ
Provider Business Mailing Address
First Line : 6021 W CHEYENNE AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-4205
Country : US
Telephone Number : 702-396-1437
Fax Number : 702-396-1443
Provider Business Practice Location Address
First Line : 6021 W CHEYENNE AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-4205
Country : US
Telephone Number : 702-396-1437
Fax Number : 702-396-1443
Authorized Official
Title or Position : PRESIDENT
Name : JOYCE MICHELE LENTZ
Credential : APN
Telephone Number : 702-396-1437
Provider Enumeration Date : 09/20/2006
Last Update Date : 06/22/2016

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