Individual
LENNIS B KLENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
44045 RIVERSIDE PKWY, LEESBURG, VA 20176-5101
(703) 858-6040
Mailing address
PO BOX 13700-1369, PHILADELPHIA, PA 19191-1369
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0001101689
VA
Other
Enumeration date
07/21/2010
Last updated
11/27/2023
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