Provider Demographics
NPI:1881657898
Name:LENES, BRUCE ALLAN (MD)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:ALLAN
Last Name:LENES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:11340 WAYNE DR
Mailing Address - Street 2:
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33026-3737
Mailing Address - Country:US
Mailing Address - Phone:954-431-2786
Mailing Address - Fax:954-777-2558
Practice Address - Street 1:1700 N STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33313-5006
Practice Address - Country:US
Practice Address - Phone:954-777-2580
Practice Address - Fax:954-777-2558
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 29726207ZB0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion Medicine