Lennon, Carol A

Lennon, Carol A is an individual health care provider with primary practice located at 102 Nw 31St , Lawton OK 73505. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Lennon, Carol A can be contacted via phone (580) 353-6790.

Contact Information

Primary practice address
102 Nw 31St Lawton OK 73505
Fax: (580) 510-7019
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 22213 Oklahoma

Profile Details

NPI number 1356336077
LBN Legal business name Lennon, Carol A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Nov 1st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356336077 NPPES
Oklahoma MEDICAID 100004490A
Oklahoma Other 7901279
Oklahoma Other 048624860001
Oklahoma Other 160053318

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