Provider Demographics
NPI:1528199163
Name:ALLEN, LENORA (MD)
Entity Type:Individual
Prefix:DR
First Name:LENORA
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:335 W MCINTOSH RD
Mailing Address - Street 2:
Mailing Address - City:BROOKS
Mailing Address - State:GA
Mailing Address - Zip Code:30205-2341
Mailing Address - Country:US
Mailing Address - Phone:770-460-6795
Mailing Address - Fax:770-460-9409
Practice Address - Street 1:1435 N EXPRESSWAY
Practice Address - Street 2:MCINTOSH TRAIL CSB
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30223-9016
Practice Address - Country:US
Practice Address - Phone:770-358-8250
Practice Address - Fax:770-229-3223
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA0214732084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry