| Doctor Name: | STEPHANIE T LENNON |
| NPI Number: | 1487713947 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 003468 |
| Business Practice Address: | 28 Proffessional Park Rd Storrs, CT - 062681659 |
| Business Phone Number: | 8604879902 |
| Business Fax Number: | 8604879912 |
| Mailing Address: | 28 Proffessional Park Rd, STORRS |
| State: | CT |
| Postal Code: | 062681659 |
| Phone Number: | 8604879102 |
| Fax Number: | 8604879912 |
| NPI Enumeration Date: | 12/08/2006 |
| NPI Last Update Date: | 12/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 003468 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |