Provider Demographics
NPI:1750317640
Name:LENTZ, CHRISTOPHER WILLIAM (MD, FACS, FCCM)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:WILLIAM
Last Name:LENTZ
Suffix:
Gender:M
Credentials:MD, FACS, FCCM
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Mailing Address - Street 1:5300 N INDEPENDENCE AVE
Mailing Address - Street 2:SUITE 280
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5556
Mailing Address - Country:US
Mailing Address - Phone:405-951-8042
Mailing Address - Fax:405-951-8113
Practice Address - Street 1:3300 NW EXPRESSWAY
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4418
Practice Address - Country:US
Practice Address - Phone:405-951-8042
Practice Address - Fax:405-951-8113
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2017-07-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK29501208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
F85579Medicare UPIN
NYJ400001627Medicare PIN