Basic Information
Provider Information
NPI: 1881875268
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LENTINI
FirstName: JENNIFER
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5800 MONROE ST BLDG E
Address2:  
City: SYLVANIA
State: OH
PostalCode: 435602263
CountryCode: US
TelephoneNumber: 4198243433
FaxNumber: 4198240216
Practice Location
Address1: 433 W HIGH ST
Address2:  
City: BRYAN
State: OH
PostalCode: 435061690
CountryCode: US
TelephoneNumber: 4196361131
FaxNumber: 4196363100
Other Information
ProviderEnumerationDate: 11/14/2007
LastUpdateDate: 12/08/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X35.089286OHY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


Home