Individual
DR. JACOB LENNERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 STATE ST, LAWRENCEVILLE, IL 62439-1852
(618) 270-4853
Mailing address
2200 STATE ST, LAWRENCEVILLE, IL 62439-1852
(618) 943-1000
(618) 943-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.168794
IL
Other
Enumeration date
03/24/2021
Last updated
07/08/2024
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