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Individual

DR. PATRICK A LENANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1428 2ND AVE N, MEDICAL ARTS BLDG, FORT DODGE, IA 50501-4119
(515) 573-1145
(515) 573-1028
Mailing address
1428 2ND AVE N, MEDICAL ARTS BLDG, FORT DODGE, IA 50501-4119
(515) 573-1145
(515) 573-1028

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2074
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
38024
BC/BS
IA
05
5145540
IA
01
IB1233002
MEDICARE ID - TYPE UNSPECIFIED
IA
Enumeration date
01/04/2006
Last updated
02/25/2015
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