Doctor Name: | DR. JOHN HENRY LENO |
NPI Number: | 1043216286 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. FACOG |
License Number: | 036101226 |
Business Practice Address: | 600 N College Ave Ste 210 Geneseo, IL - 612541093 |
Business Phone Number: | 3099440245 |
Business Fax Number: | 3099440541 |
Mailing Address: | 500w River Dr, DAVENPORT |
State: | IA |
Postal Code: | 528011014 |
Phone Number: | 5633363000 |
Fax Number: | 5633272045 |
NPI Enumeration Date: | 06/22/2005 |
NPI Last Update Date: | 07/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 036101226 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |