Basic Information
| Provider Information | |||||||||
| NPI: | 1669542841 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LENT | ||||||||
| FirstName: | GRETCHEN | ||||||||
| MiddleName: | S | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 162 VIA MONTE DORO | ||||||||
| Address2: | |||||||||
| City: | REDONDO BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 902776440 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9178170434 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3330 LOMITA BLVD. | ||||||||
| Address2: | TORRANCE MEMORIAL MEDICAL CENTER, EMERGENCY DEPT. | ||||||||
| City: | TORRANCE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 90505 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3103259110 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/08/2006 | ||||||||
| LastUpdateDate: | 10/31/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 235300 | NY | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.