| NPI | 1427050665 |
|---|---|
| Former Name | LISA ANN LENNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C2-0005747) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD H0058234) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2025-02-24 |