Most Relevant Information
Provider Data
| NPI Number: | 1003818972 |
| Provider Name: | KENNETH JOHN LENTZ OD |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 0983 |
Most Important Dates
| Enumeration Date: | 08/11/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
193 WALNUT AVE
SPRUCE PINE
NC
287772738
Practice Location Phone/Fax
| Phone: | 8287654349 |
| Fax: | 8287656247 |
Provider Mailing Location
PO BOX 665
SPRUCE PINE
NC
287770665
Provider Mailing Phone/Fax
| Phone: | 8287657788 |
| Fax: | 8287656247 |