J. Luke Lentz, MD, PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

ME82437 Issued in FL

Legal business name

J. LUKE LENTZ, MD, PA

Doing business as

Lentz Lyme Clinic

Practice address

737 Highway 98 E Ste 1
Destin, FL 32541-2538

Phone

(850) 424-6841

Fax

(850) 424-6845

NPI assigned

Jan 15, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Luther Lentz Jr., M.D.NPI 1356395693

Title

Sole Proprietor

Phone

(850) 424-6841

Specialties & licenses 1

Addresses

Other names 1

• LENTZ LYME CLINIC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Luther Lentz Jr., M.D.

  • Family Medicine Physician
  • Destin, FL
  • NPI 1356395693
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220659200000",
    "number": "1376729855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 HIGHWAY 98 E STE 1",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412538",
            "telephone_number": "850-424-6841",
            "fax_number": "850-424-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 HIGHWAY 98 E STE 1",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412538",
            "telephone_number": "850-424-6841",
            "fax_number": "850-424-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. LUKE LENTZ, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-09-06",
        "status": "A",
        "authorized_official_last_name": "LENTZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LUTHER",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "850-424-6841",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME82437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LENTZ LYME CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Medical Specialty Clinic/Center in Destin, FL
• Providers in Destin, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.