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Individual
DR. SHAUN G LENCKI
Active
Individual
DR. SHAUN G LENCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
2020007993
MO
207VM0101X
Maternal & Fetal Medicine Physician
ME86568
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202013798
TAX ID
FL
05
—
265903400
—
FL
01
—
5361051
AETNA
FL
01
—
62954
BC/BS
FL
01
—
N290176
HEALTHEASE (MEDICIAD HMO)
FL
Enumeration date
10/13/2005
Last updated
03/25/2020
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