Individual
DR. CHAD JASON LENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9771 TIGER LILY PATH, APT. 3B, LAUREL, MD 20723
(917) 669-6237
Mailing address
9771 TIGER LILY PATH, APT. 3B, LAUREL, MD 20723
(917) 669-6237
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D74512
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2010
Last updated
05/09/2016
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