Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | H88913 | MD |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 25MB11003500 | NJ |
NPI | 1609262039 |
---|---|
Provider Name | Dr. Jonathon Marc Lentz |
First Address | Ocean, NJ 07712-7631 |
Second Address | Ocean, NJ 07712-7631 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2015 |
Last Update Date | 03/09/2021 |