Provider Demographics
NPI:1942332010
Name:LENTZ, JAMES (FNP)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:LENTZ
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9010 MAGNOLIA AVE
Mailing Address - Street 2:SHERMAN INDIAN HIGH SCHOOL CLINIC
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-4431
Mailing Address - Country:US
Mailing Address - Phone:951-509-8780
Mailing Address - Fax:951-509-8933
Practice Address - Street 1:9010 MAGNOLIA AVE
Practice Address - Street 2:SHERMAN INDIAN HIGH SCHOOL CLINIC
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-4431
Practice Address - Country:US
Practice Address - Phone:951-509-8780
Practice Address - Fax:951-509-8933
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA529708363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily