Lentz, Jacqueline

Lentz, Jacqueline is an individual health care provider with primary practice located at 1365 W 29Th St , Loveland CO 80538-2561. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Lentz, Jacqueline can be contacted via phone (970) 667-6111.

Contact Information

Primary practice address
1365 W 29Th St Loveland CO 80538-2561
Phone: (970) 667-6111
Fax: (970) 482-0198
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2008006015 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 2008006016 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 201050005NP Oregon

Profile Details

NPI number 1225368368
LBN Legal business name Lentz, Jacqueline
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2010
Last updated Dec 28th, 2015 - about 9 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 1225368368 NPPES
Oregon MEDICAID 500619570

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