Individual
JOSEPH JAMES LENNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2000
Mailing address
442 FOXTAIL DR, WEST FARGO, ND 58078-7964
(218) 838-3453
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R38592
ND
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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