Individual
ROBERT L LENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25251
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047517300
—
MN
01
—
050008772
RAILROAD MEDICARE
MN
05
—
37577400
—
WI
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
Enumeration date
01/19/2006
Last updated
08/17/2009
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