Lents, Russell

Lents, Russell is an individual health care provider with primary practice located at 145 Innovation Dr , Jackson TN 38305-3019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Lents, Russell can be contacted via phone (731) 422-0213.

Contact Information

Primary practice address
145 Innovation Dr Jackson TN 38305-3019
Phone: (731) 422-0213
Fax: (731) 660-8368
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD15030 Tennessee

Profile Details

NPI number 1649248477
LBN Legal business name Lents, Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Oct 25th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649248477 NPPES
Tennessee MEDICAID 30065580

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