Doctor Name: | COLLEEN LISA LENARD |
NPI Number: | 1265741367 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 25MP00246000 |
Business Practice Address: | 180 White Rd Suite 209 Little Silver, NJ - 077391166 |
Business Phone Number: | 7328420673 |
Business Fax Number: | 7328427352 |
Mailing Address: | 4 Meadowbrook Dr, HOWELL |
State: | NJ |
Postal Code: | 077312024 |
Phone Number: | 7328420673 |
Fax Number: | 7328427352 |
NPI Enumeration Date: | 10/07/2010 |
NPI Last Update Date: | 11/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 25MP00246000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |