Provider Demographics
NPI:1851695951
Name:ADAMS-LENTZ, MICHELE L (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:L
Last Name:ADAMS-LENTZ
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 COLLEGE DR STE 102104
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:FL
Mailing Address - Zip Code:32068-8530
Mailing Address - Country:US
Mailing Address - Phone:904-298-1994
Mailing Address - Fax:904-298-1973
Practice Address - Street 1:430 COLLEGE DR STE 102104
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG
Practice Address - State:FL
Practice Address - Zip Code:32068-8530
Practice Address - Country:US
Practice Address - Phone:904-298-1994
Practice Address - Fax:904-298-1973
Is Sole Proprietor?:No
Enumeration Date:2011-01-04
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2998532363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health