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Individual

DR. JOHN M LENNON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
2504 CRILL AVE, PALATKA, FL 32177-4264
(386) 328-5141
(386) 328-5141
Mailing address
2504 CRILL AVE, PALATKA, FL 32177-4264
(386) 328-5141
(386) 328-3972

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2448
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
078883000
FL
01
20313
BCBS
FL
Enumeration date
11/30/2005
Last updated
07/08/2024
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