# TED A LENNARD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1932153913
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 0000032129 | TN | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 18119 | LA | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | R3879 | AR | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | R9N55 | MO | Yes |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 08/21/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0201383 | DEPARTMENT OF LABOR WA | WA |
| 01 | — | 152849 | BLUE CROSS/CHOICE | MO |
| 05 | — | 168253001 | — | AR |
| 01 | — | 1842 | COX HEALTH PLAN UPI | MO |
| 05 | — | 202972212 | — | MO |
| 01 | — | 4188130001 | CIGNA MEDICARE | MO |
| 01 | — | 6354796002 | CIGNA HEALTHCARE | MO |
| 01 | — | E35997 | USPS (W/C) | MO |