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NPI Code Detail

MEDICARE: DR. MARK ROBERT LENTHE D.O.

MEDICARE: DR. MARK ROBERT LENTHE D.O.
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
1207Q00000XFamily Medicine Physician364NE
2207Q00000XFamily Medicine Physician6182975-1204UT

General Provider Information

NPI Number : 1831188358
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK ROBERT LENTHE D.O.
Provider Business Mailing Address
First Line : PO BOX 337
Second Line :
City : LAYTON
State : UT
Zip : 84041-0337
Country : US
Telephone Number : 801-773-4840
Fax Number : 801-525-8151
Provider Business Practice Location Address
First Line : 2121 N 1700 W
Second Line :
City : LAYTON
State : UT
Zip : 84041-8803
Country : US
Telephone Number : 801-773-4840
Fax Number : 801-525-8151
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2005
Last Update Date : 02/22/2021

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Directions to “ DR. MARK ROBERT LENTHE D.O.” Practice Location

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