Provider Demographics
NPI:1629691431
Name:LENNING, ARIEL A (OD)
Entity Type:Individual
Prefix:DR
First Name:ARIEL
Middle Name:A
Last Name:LENNING
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ARIEL
Other - Middle Name:I
Other - Last Name:AUERBACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15 SW EVERETT MALL WAY STE J
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-2715
Mailing Address - Country:US
Mailing Address - Phone:425-967-2950
Mailing Address - Fax:425-962-3284
Practice Address - Street 1:15 SW EVERETT MALL WAY STE J
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204-2715
Practice Address - Country:US
Practice Address - Phone:425-967-2950
Practice Address - Fax:425-962-3284
Is Sole Proprietor?:No
Enumeration Date:2020-05-27
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD61074930152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist