Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 29426 | SC |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 29714 | KY |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 29714 | KY |
NPI | 1508846460 |
---|---|
Provider Name | Eric Joseph Lentsch |
First Address | Charleston, SC 29406-9125 |
Second Address | Charleston, SC 29406 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2006 |
Last Update Date | 21/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64297146 | (05) | KY |
F65059 | (02) |