LENNIE J DEAVER

CAMBRIDGE, NE
NPI1184702409
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NE  NE16867)
Enumeration Date2006-11-02
Last Update Date2010-01-05
Business Address
-- LENNIE J DEAVER MD
309 NELSON ST
CAMBRIDGE, NE 69022-3592
Phone number: 308-697-1419
Mailing Address
-- LENNIE J DEAVER MD
PO BOX 488
CAMBRIDGE, NE 69022
Phone number: 308-697-1526