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NPI Code Detail

MEDICARE: DAVID S LENNON MD

MEDICARE:   DAVID S LENNON  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
1207L00000XAnesthesiology Physician20158NC
2207L00000XAnesthesiology Physician24005CO

Other Identifiers

General Provider Information

NPI Number : 1619962735
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID S LENNON MD
Provider Business Mailing Address
First Line : PO BOX 150
Second Line :
City : HOLLY
State : CO
Zip : 81047-0150
Country : US
Telephone Number : 719-537-0712
Fax Number : 719-537-6284
Provider Business Practice Location Address
First Line : 11600 W 2ND PL
Second Line :
City : LAKEWOOD
State : CO
Zip : 80228-1527
Country : US
Telephone Number : 720-321-1048
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2005
Last Update Date : 08/10/2012

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Directions to “ DAVID S LENNON MD” Practice Location

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