NPI 1760743983

David Lenn, IDC

Practitioner Independent Duty Corpsman Sterling Heights, MI

Practice location

Address: 38539 Arcola Dr, Sterling Heights, MI 48312-1213
Phone: (586) 216-0167

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1760743983
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jun 2012
Record last updated: 5 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.