Provider Demographics
NPI:1316203474
Name:LENTULAY, WILLIAM EDWARD (MED)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:EDWARD
Last Name:LENTULAY
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2675 HORSESHOE DR S
Mailing Address - Street 2:SUITE 402
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34104-6155
Mailing Address - Country:US
Mailing Address - Phone:239-331-8400
Mailing Address - Fax:239-777-3097
Practice Address - Street 1:2675 HORSESHOE DR S
Practice Address - Street 2:SUITE 402
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34104-6155
Practice Address - Country:US
Practice Address - Phone:239-331-8400
Practice Address - Fax:239-777-3097
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-03
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor