Provider Demographics
NPI:1871611400
Name:RONALD LENTINI
Entity type:Organization
Organization Name:RONALD LENTINI
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:LENTINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-373-3360
Mailing Address - Street 1:828 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:KULPMONT
Mailing Address - State:PA
Mailing Address - Zip Code:17834-1314
Mailing Address - Country:US
Mailing Address - Phone:570-373-3360
Mailing Address - Fax:570-373-3360
Practice Address - Street 1:828 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:KULPMONT
Practice Address - State:PA
Practice Address - Zip Code:17834-1314
Practice Address - Country:US
Practice Address - Phone:570-373-3360
Practice Address - Fax:570-373-3360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5010120001Medicare NSC