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Individual

DAVID S LENNON

Active
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Individual

DAVID S LENNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
20158
NC
207L00000X
Anesthesiology Physician
Primary
24005
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
73454028
CO
05
8951674
NC
Enumeration date
09/14/2005
Last updated
08/10/2012
Update your record

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