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Individual
DR. DIRK L LENABURG
Active
Individual
DR. DIRK L LENABURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MBA
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7101
OK
207Q00000X
Family Medicine Physician
UO5389
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UO5389
FLORIDA DEPT OF HEALTH BOARD OF OSTEOPATHIC MEDICINE
FL
Enumeration date
03/28/2017
Last updated
08/20/2020
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