Provider Demographics
NPI:1871192062
Name:ANTONY LENDEL
Entity Type:Organization
Organization Name:ANTONY LENDEL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ANTONY
Authorized Official - Middle Name:
Authorized Official - Last Name:LENDEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-829-4136
Mailing Address - Street 1:7718 WAKE ROBIN DR
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44130-7662
Mailing Address - Country:US
Mailing Address - Phone:440-829-4136
Mailing Address - Fax:
Practice Address - Street 1:7718 WAKE ROBIN DR
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44130-7662
Practice Address - Country:US
Practice Address - Phone:440-829-4136
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty