Provider Demographics
NPI:1528590072
Name:LENTZ, CASSANDRA JO (MD)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:JO
Last Name:LENTZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3321 GENERAL TAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70125-4505
Mailing Address - Country:US
Mailing Address - Phone:815-878-6902
Mailing Address - Fax:
Practice Address - Street 1:1440 TULANE AVENUE
Practice Address - Street 2:#8448
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112
Practice Address - Country:US
Practice Address - Phone:504-988-4272
Practice Address - Fax:504-988-1665
Is Sole Proprietor?:No
Enumeration Date:2017-04-03
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA3200702084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry