Doctor Name: | MS. LAURA M LENTZ |
NPI Number: | 1003809914 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS LMHP |
License Number: | 1955 |
Business Practice Address: | 12818 Augusta Ave Omaha, NE - 681443733 |
Business Phone Number: | 4023341122 |
Business Fax Number: | 4023348171 |
Mailing Address: | 12818 Augusta Ave, OMAHA |
State: | NE |
Postal Code: | 681443733 |
Phone Number: | 4023341122 |
Fax Number: | 4023348171 |
NPI Enumeration Date: | 08/25/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1955 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |