Provider Demographics
NPI:1497702138
Name:LENOIR, DENISE RENEE (FNP)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:RENEE
Last Name:LENOIR
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2940 SUMMIT ST
Mailing Address - Street 2:#1
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-3405
Mailing Address - Country:US
Mailing Address - Phone:510-834-4897
Mailing Address - Fax:510-834-4830
Practice Address - Street 1:2940 SUMMIT ST
Practice Address - Street 2:#1 COMPREHENSIVE ALLERGY SERVICES INC
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3405
Practice Address - Country:US
Practice Address - Phone:510-834-4897
Practice Address - Fax:510-834-4830
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN302632208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics