Individual
SHELLEY M LENNOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
920 E 28TH ST, SUITE 700, MINNEAPOLIS, MN 55407-1139
(612) 863-9062
(612) 863-9252
Mailing address
920 E 28TH ST, SUITE 700, MINNEAPOLIS, MN 55407-1139
(612) 863-9062
(612) 863-9252
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
38233
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2900012805
RAILROAD MEDICARE
MN
Enumeration date
07/16/2006
Last updated
12/10/2007
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