Individual
JESSICA ELIZABETH LENNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 WILLIAM CARLS DR, COMMERCE TOWNSHIP, MI 48382-2201
(248) 937-3740
Mailing address
1880 S DUCK LAKE RD, MILFORD, MI 48381-1427
(248) 895-4144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010823
MI
Other
Enumeration date
10/14/2021
Last updated
01/09/2024
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