Provider Demographics
NPI:1841409679
Name:CARY LENTZ, KAREN SUE (LPN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:SUE
Last Name:CARY LENTZ
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1099 5TH AVE N
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-1469
Mailing Address - Country:US
Mailing Address - Phone:727-820-7800
Mailing Address - Fax:727-820-7801
Practice Address - Street 1:1099 5TH AVE N
Practice Address - Street 2:SUITE 110
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-1469
Practice Address - Country:US
Practice Address - Phone:727-820-7800
Practice Address - Fax:727-820-7801
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN843231164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse