Individual
VIVIAN S LENNON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4166 BUFORD HWY, STE 1102, ATLANTA, GA 30345
(404) 785-8150
(404) 785-8173
Mailing address
1619 MONTCLIFF CT, DECATUR, GA 30033
(404) 228-3723
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
043121
GA
208000000X
Pediatrics Physician
A71620
CA
Other
Enumeration date
04/20/2006
Last updated
07/08/2007
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