Xavier Dominique Lennon PA-C

NPI 1699907758 - Physician Assistant - 363AM0700X

NPI Details
NPI 1699907758
Gender Male
Enumeration Date 08/21/2009
Last Updated 04/10/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
20680 SENECA MEADOWS PKWY STE 200
GERMANTOWN MD, 20876-7022, US
Phone (240) 629-3939
Fax (240) 629-3927
Business Location
PO BOX 2348
GERMANTOWN MD, 20875-2348, US
Phone (240) 629-3982
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State DO Columbia
License Number PA030607
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According to our database, Xavier Dominique Lennon PA-C NPI is 1699907758, taxonomy code is 363AM0700X and license number is PA030607, license state is located at DO Columbia. Xavier Dominique Lennon PA-C physically located at 20680 Seneca Meadows Pkwy Ste 200, Germantown MD, 20876-7022. NPI Number Xavier Dominique Lennon PA-C has the Individual type.

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1699907758 NPI number is provided on an as is basis without warranty of any kind. 1699907758 is maintained by the National Plan & Provider Enumeration System. The contents of Xavier Dominique Lennon PA-C are for informational purposes only.