MEDICARE: GREGORY LENNON PHD

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
1	246Z00000X	Other Specialist/Technologist

General Provider Information

NPI Number	:	1578492765
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GREGORY LENNON PHD

Provider Business Mailing Address
First Line	:	9812 FALLS RD # 114-237
Second Line	:
City	:	POTOMAC
State	:	MD
Zip	:	20854-3976
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9812 FALLS RD # 114-237
Second Line	:
City	:	POTOMAC
State	:	MD
Zip	:	20854-3976
Country	:	US
Telephone Number	:	301-765-0841
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2026
Last Update Date	:	05/15/2026

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Directions to “ GREGORY LENNON PHD” Practice Location

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