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NPI Code Detail

MEDICARE: DR. JOHN DAGGETT LENAHAN MD

MEDICARE: DR. JOHN DAGGETT LENAHAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician67504AZ
2207Q00000XFamily Medicine PhysicianME152434FL
3207Q00000XFamily Medicine Physician3392VI

General Provider Information

NPI Number : 1437713286
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN DAGGETT LENAHAN MD
Provider Business Mailing Address
First Line : 6500 RED HOOK PLZ STE 205
Second Line :
City : ST THOMAS
State : VI
Zip : 00802-1346
Country : US
Telephone Number : 407-752-3033
Fax Number :
Provider Business Practice Location Address
First Line : 6500 RED HOOK PLZ STE 205
Second Line :
City : ST THOMAS
State : VI
Zip : 00802-1346
Country : US
Telephone Number : 340-775-2303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2019
Last Update Date : 07/31/2025

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