BRIAN LENTZ

MEQUON, WI
NPI1497307649
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  2253-39)
Enumeration Date2019-07-09
Last Update Date2019-07-22
Business Address
BRIAN LENTZ ATC
12800 N LAKE SHORE DR
MEQUON, WI 53097-2418
Phone number: 262-243-2057
Mailing Address
BRIAN LENTZ ATC
1123 RIDGE CREEK CIR UNIT 102
WAUKESHA, WI 53186-4207
Phone number:
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