Individual
MR. ANNETTE J LENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4212 N. 16TH STREET, PIMC, PHOENIX, AZ 85016
(602) 263-1200
(602) 263-1631
Mailing address
P.O.BOX 31001-0698, PNC, PASADENA, CA 91110-0001
(602) 263-1200
(602) 263-1631
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP037298
AZ
Other
Enumeration date
01/09/2009
Last updated
01/09/2009
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