Provider Demographics
NPI:1003694365
Name:OWENS, LENARD D
Entity Type:Individual
Prefix:
First Name:LENARD
Middle Name:D
Last Name:OWENS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3231 MERRIWEATHER ST NW
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44485-2516
Mailing Address - Country:US
Mailing Address - Phone:234-349-0736
Mailing Address - Fax:
Practice Address - Street 1:3231 MERRIWEATHER ST NW
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44485-2516
Practice Address - Country:US
Practice Address - Phone:234-349-0736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker