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NPI Code Detail

MEDICARE: MR. DON ALLYN LENOX LCSW, ACSW

MEDICARE: MR. DON ALLYN LENOX LCSW, ACSW
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
11041C0700XClinical Social WorkerSW 13097FL

General Provider Information

NPI Number : 1932322732
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DON ALLYN LENOX LCSW, ACSW
Provider Business Mailing Address
First Line : 1600 E ROBINSON ST
Second Line : SUITE 250
City : ORLANDO
State : FL
Zip : 32803-5954
Country : US
Telephone Number : 407-423-3327
Fax Number :
Provider Business Practice Location Address
First Line : 6700 S WASHINGTON AVE
Second Line :
City : TITUSVILLE
State : FL
Zip : 32780-8050
Country : US
Telephone Number : 321-722-5200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 05/03/2017

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