Healthcare Provider Details
I. General information
NPI: 1912606815
Provider Name (Legal Business Name): ALEXANDER LENARD, MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/28/2023
Last Update Date: 02/28/2023
Certification Date: 02/28/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
582 NW UNIVERSITY BLVD STE 100
PORT ST LUCIE FL
34986-2264
US
IV. Provider business mailing address
11886 HEMLOCK ST
PALM BEACH GARDENS FL
33410-2129
US
V. Phone/Fax
- Phone: 561-836-7248
- Fax: 561-516-8850
- Phone: 561-843-3760
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XS0117X |
| Taxonomy | Orthopaedic Surgery of the Spine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ALEXANDER
LENARD
Title or Position: OWNER
Credential: MD
Phone: 561-836-7248