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Individual

JENNIFER NOEL LENNINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
350 S LANDMARK AVE, BLOOMINGTON, IN 47403-5001
(812) 335-2435
(812) 330-2306
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01075522A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201326280
IN
Enumeration date
09/03/2008
Last updated
09/02/2022
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