Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner | N2708 | |
N | 225C00000X | Rehabilitation Counselor | N2708 |
NPI | 1033609565 |
---|---|
Provider Name | Daniel E Lentscher |
First Address | Laurel, MD 20707-5252 |
Second Address | Laurel, MD 20707-5252 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2018 |
Last Update Date | 19/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
N2708 | MD WCC (01) | MD |