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NPI Code Detail

MEDICARE: JAMES LENTZ FNP

MEDICARE: JAMES LENTZ FNP
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
1363LF0000XFamily Nurse Practitioner529708CA

General Provider Information

NPI Number : 1942332010
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES LENTZ FNP
Provider Business Mailing Address
First Line : 9010 MAGNOLIA AVE
Second Line : SHERMAN INDIAN HIGH SCHOOL CLINIC
City : RIVERSIDE
State : CA
Zip : 92503-4431
Country : US
Telephone Number : 951-509-8780
Fax Number : 951-509-8933
Provider Business Practice Location Address
First Line : 9010 MAGNOLIA AVE
Second Line : SHERMAN INDIAN HIGH SCHOOL CLINIC
City : RIVERSIDE
State : CA
Zip : 92503-4431
Country : US
Telephone Number : 951-509-8780
Fax Number : 951-509-8933
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2007
Last Update Date : 07/08/2007

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