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Individual

STEPHEN DAVID LENETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., FACEP

Contact information

Practice address
2621 GROVE AVE, RICHMOND, VA 23220-4308
(804) 254-5100
Mailing address
PO BOX 17607, BALTIMORE, MD 21297-1607
(866) 916-5259
(231) 922-4030

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101027427
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005816424
VA
Enumeration date
07/17/2006
Last updated
03/08/2011
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