Provider Demographics
NPI:1992087951
Name:LENTZ, HOLLY LYNN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:LYNN
Last Name:LENTZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5823 PIERCE ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-1719
Mailing Address - Country:US
Mailing Address - Phone:724-689-9635
Mailing Address - Fax:
Practice Address - Street 1:827 MAGILL DR
Practice Address - Street 2:
Practice Address - City:NORTH HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:15642-3992
Practice Address - Country:US
Practice Address - Phone:724-861-7201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP444558183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist