Individual
DOROTHY R LENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-7829
Mailing address
PO BOX 2002, EAST SYRACUSE, NY 13057-4502
(315) 449-2208
(315) 362-5120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
156157
NY
Other
Enumeration date
07/01/2005
Last updated
07/08/2007
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