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NPI Code Detail

MEDICARE: CRAIG LENT

MEDICARE:   CRAIG  LENT
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
1225200000XPhysical Therapy Assistant10044CA

General Provider Information

NPI Number : 1801339114
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRAIG LENT
Provider Business Mailing Address
First Line : 2990 E RAMON RD
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92264-7931
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2990 E RAMON RD
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92264-7931
Country : US
Telephone Number : 760-323-2638
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2016
Last Update Date : 11/18/2016

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Directions to “ CRAIG LENT ” Practice Location

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