Individual
ANNIE AUGUSTA LENOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664
(334) 234-1830
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61145721
WA
207Q00000X
Family Medicine Physician
MD206121
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2018
Last updated
09/09/2024
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