| NPI | 1942011143 |
|---|---|
| Other Name | LENTZ PEDIATRICS JACKSON |
| Entity Type | Organization |
| Authorized Contact | KRISTY CHESSER Office Manager 731-664-9040 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-01-17 |