Provider Demographics
NPI:1316285281
Name:LENT, BRIAN DANIEL (PA-C)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:DANIEL
Last Name:LENT
Suffix:
Gender:M
Credentials:PA-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:207 FLETCHER ST
Mailing Address - Street 2:OFFICE 1127
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48109-1050
Mailing Address - Country:US
Mailing Address - Phone:734-936-2191
Mailing Address - Fax:734-936-3063
Practice Address - Street 1:207 FLETCHER ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-1050
Practice Address - Country:US
Practice Address - Phone:734-764-8320
Practice Address - Fax:734-936-3063
Is Sole Proprietor?:No
Enumeration Date:2013-01-28
Last Update Date:2016-03-28
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical