EDWARD BRENT LENNON

CAMP LEJEUNE, NC
NPI1366492969
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2006-05-12
Last Update Date2017-03-23
Business Address
-- EDWARD BRENT LENNON USN IDC
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2538
Phone number: 910-451-1053
Mailing Address
-- EDWARD BRENT LENNON USN IDC
1141 LAKEVIEW AVE
RICHLANDS, NC 28574-8235
Phone number: 910-324-1324