Provider Demographics
NPI:1275917197
Name:GRIER, LENOR
Entity Type:Individual
Prefix:
First Name:LENOR
Middle Name:
Last Name:GRIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:571 CLEARVIEW DR
Mailing Address - Street 2:
Mailing Address - City:LONG POND
Mailing Address - State:PA
Mailing Address - Zip Code:18334-7735
Mailing Address - Country:US
Mailing Address - Phone:917-636-2251
Mailing Address - Fax:
Practice Address - Street 1:571 CLEARVIEW DR
Practice Address - Street 2:
Practice Address - City:LONG POND
Practice Address - State:PA
Practice Address - Zip Code:18334-7735
Practice Address - Country:US
Practice Address - Phone:917-636-2251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-10
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist