Provider Demographics
NPI:1326229493
Name:MARVIN LENEAU, DPM
Entity Type:Organization
Organization Name:MARVIN LENEAU, DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOWDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-510-1189
Mailing Address - Street 1:1498M REISTERSTOWN RD
Mailing Address - Street 2:SUITE 332
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-3842
Mailing Address - Country:US
Mailing Address - Phone:410-493-3449
Mailing Address - Fax:410-510-1189
Practice Address - Street 1:1498M REISTERSTOWN RD
Practice Address - Street 2:SUITE 332
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-3842
Practice Address - Country:US
Practice Address - Phone:410-493-3449
Practice Address - Fax:410-510-1189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1248810001Medicare NSC