Provider Demographics
NPI:1720001225
Name:LENTZ, ROBERT EDMOND (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:EDMOND
Last Name:LENTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 541989
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33454-1989
Mailing Address - Country:US
Mailing Address - Phone:561-214-9200
Mailing Address - Fax:561-642-6568
Practice Address - Street 1:7408 LAKE WORTH RD
Practice Address - Street 2:SUITE100
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-2531
Practice Address - Country:US
Practice Address - Phone:561-214-9200
Practice Address - Fax:561-642-6568
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0060214174400000X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No174400000XOther Service ProvidersSpecialist