Provider Demographics
NPI:1164400370
Name:LENOX, JAMES CLAYTON (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CLAYTON
Last Name:LENOX
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6585 THORNTREE DR
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-1769
Mailing Address - Country:US
Mailing Address - Phone:440-526-4792
Mailing Address - Fax:440-526-4792
Practice Address - Street 1:6585 THORNTREE DR
Practice Address - Street 2:
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-1769
Practice Address - Country:US
Practice Address - Phone:440-526-4792
Practice Address - Fax:440-526-4792
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-06
Last Update Date:2017-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.002376207Q00000X
OH002376207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0355557Medicaid
OH0355557Medicaid