Provider Demographics
NPI:1699836114
Name:LENTSCH, KRISTI MCCAULEY (MD)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:MCCAULEY
Last Name:LENTSCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1113 PARK WEST BLVD
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-7121
Mailing Address - Country:US
Mailing Address - Phone:843-876-1445
Mailing Address - Fax:843-388-9379
Practice Address - Street 1:1113 PARK WEST BLVD
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29466-7121
Practice Address - Country:US
Practice Address - Phone:843-876-1445
Practice Address - Fax:843-388-9379
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC29464207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine