Individual
AMY JEANNINE LENOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2640 W BASELINE RD, SUITE 111, PHOENIX, AZ 85041-6492
(480) 677-8282
(480) 677-8283
Mailing address
4600 S MILL AV, SUITE 280, TEMPE, AZ 85282-6850
(480) 305-2888
(480) 305-2889
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3597
AZ
363AM0700X
Medical Physician Assistant
3597
AZ
363AS0400X
Surgical Physician Assistant
3597
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242309
—
AZ
Enumeration date
01/25/2007
Last updated
07/15/2015
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