Individual
EDWARD BRENT LENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
USN IDC
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
(910) 451-1053
Mailing address
1141 LAKEVIEW AVE, RICHLANDS, NC 28574-8235
(910) 324-1324
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/12/2006
Last updated
03/23/2017
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