Individual
JEAN B LENK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
36100 EUCLID AVE, SUITE 430, WILLOUGHBY, OH 44094-4456
(440) 946-4070
(440) 946-4071
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 626-6161
(419) 502-3511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35058732
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0819663
—
OH
Enumeration date
09/29/2005
Last updated
09/02/2020
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