Individual
STEPHANIE T LENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2620 KESSLER BOULEVARD EAST DR STE 110, INDIANAPOLIS, IN 46220-2889
(000) 000-0000
(203) 720-6996
Mailing address
126 ALPINE DR, SANDY HOOK, CT 06482-1254
(860) 933-6784
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
003468
CT
363LP2300X
Primary Care Nurse Practitioner
Primary
003468
CT
Other
Enumeration date
12/08/2006
Last updated
05/16/2023
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