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Individual

DR. LAWRENCE G LENKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
622 W 168TH ST PH 11-102, NEW YORK, NY 10032-3720
(212) 932-4333
Mailing address
622 W 168TH ST PH 11-102, NEW YORK, NY 10032-3720
(212) 932-5100

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
279608-01
NY
207X00000X
Orthopaedic Surgery Physician
R5P11
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
041010232
MO
Enumeration date
07/14/2006
Last updated
03/07/2023
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