Individual
PATRICK CASEY LENNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14707 S CHESHIRE ST, BURTON, OH 44021-9601
(440) 887-1100
(440) 887-1103
Mailing address
13993 SWEETBRIAR LN, NOVELTY, OH 44072-9716
(440) 223-3682
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
OH
175T00000X
Peer Specialist
Primary
APS.003500
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0416711
—
OH
Enumeration date
09/01/2020
Last updated
07/02/2024
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