Organization Name: | DR. THOMAS P LENNS, LLC |
NPI Number: | 1750788998 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS P LENNS (OWNER) |
Mailing Address: | 89 Main St Hilton Head |
State: | SC US |
Postal Code: | 299266613 |
Phone Number: | 8436815305 |
Fax Number: | 8436895210 |
NPI Enumeration Date: | 12/03/2014 |
NPI Last Update Date: | 07/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 14657 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |