Provider Demographics
NPI:1326304148
Name:MORRIS, LENNOX VALENTINE (LAC)
Entity Type:Individual
Prefix:MR
First Name:LENNOX
Middle Name:VALENTINE
Last Name:MORRIS
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4402 11TH ST
Mailing Address - Street 2:SUITE 307
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-5142
Mailing Address - Country:US
Mailing Address - Phone:347-251-0619
Mailing Address - Fax:
Practice Address - Street 1:4402 11ST
Practice Address - Street 2:SUITE 307
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101
Practice Address - Country:US
Practice Address - Phone:347-251-0619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-05
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0121000994171100000X
NY004255-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist