Provider Demographics
NPI:1285799932
Name:LENTCHNER, LAWRENCE HERBERT (PHD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:HERBERT
Last Name:LENTCHNER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 MATTISON RD
Mailing Address - Street 2:P.O.BOX 770
Mailing Address - City:BRANCHVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07826-4002
Mailing Address - Country:US
Mailing Address - Phone:973-946-4388
Mailing Address - Fax:973-948-4388
Practice Address - Street 1:68 MATTISON RD
Practice Address - Street 2:
Practice Address - City:BRANCHVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07826-4002
Practice Address - Country:US
Practice Address - Phone:973-946-4388
Practice Address - Fax:973-948-4388
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00106800103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ740916Medicaid