Individual
MISS COURTNEY ALEXANDRA LENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4040 SHERIDAN ST, HOLLYWOOD, FL 33021-3536
(954) 322-7166
Mailing address
7331 SW 139TH AVE, MIAMI, FL 33183-3143
(305) 773-8350
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9109643
FL
Other
Enumeration date
08/17/2016
Last updated
03/29/2021
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