Individual
BRIAN THOMAS LENIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
504 NW 10TH AVE, AVA, MO 65608
(417) 683-4831
(417) 683-1602
Mailing address
504 NW 10TH AVE, PO BOX 1359, AVA, MO 65608
(417) 683-4831
(417) 683-1602
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
111909
MO
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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