Provider Demographics
NPI:1295834778
Name:HEY, LENNARD SCOT (DC, FNP)
Entity Type:Individual
Prefix:DR
First Name:LENNARD
Middle Name:SCOT
Last Name:HEY
Suffix:
Gender:M
Credentials:DC, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 MCHENRY AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-3259
Mailing Address - Country:US
Mailing Address - Phone:209-522-9054
Mailing Address - Fax:209-522-2631
Practice Address - Street 1:2501 MCHENRY AVE
Practice Address - Street 2:SUITE F
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-3259
Practice Address - Country:US
Practice Address - Phone:209-522-9054
Practice Address - Fax:209-522-2631
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95002817363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care