Provider Demographics
NPI:1649386384
Name:LENIHAN, DAVID V (PHD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:V
Last Name:LENIHAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:19 KINGS CROSSING CT
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63129-5064
Mailing Address - Country:US
Mailing Address - Phone:314-846-1459
Mailing Address - Fax:314-846-1459
Practice Address - Street 1:19 KINGS CROSSING CT
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63129-5064
Practice Address - Country:US
Practice Address - Phone:314-846-1459
Practice Address - Fax:314-846-1459
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004006430111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology