Individual
LAWRENCE B. LENNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2633 E 136TH ST, CARMEL, IN 46032-1855
(317) 575-9645
(317) 575-9653
Mailing address
PO BOX 501, CARMEL, IN 46082-0501
(317) 575-9645
(317) 575-9653
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20010358A
IN
Other
Enumeration date
03/05/2009
Last updated
03/05/2009
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