Individual
MR. DANIEL MICHAEL LENNOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
634 PRESSLEY ST, SANTA ROSA, CA 95404-5526
(707) 573-6955
(707) 543-8176
Mailing address
2001 RANGE AVE, APPARTMENT 214, SANTA ROSA, CA 95401-7001
(707) 526-9154
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3456
CA
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3456
MEDICAL
—
Enumeration date
07/08/2008
Last updated
07/08/2008
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