MEDICARE: MICHELE LINTZ

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
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1700181047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELE LINTZ

Provider Business Mailing Address
First Line	:	4321 COUNTRY CLUB BLVD
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33904-5279
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1280 MARAVILLA LANE
Second Line	:
City	:	FT MYERS
State	:	FL
Zip	:	33916
Country	:	US
Telephone Number	:	239-332-8009
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2011
Last Update Date	:	01/18/2011

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