Provider Demographics
NPI:1992694129
Name:BREWER, LENKIYA N
Entity type:Individual
Prefix:
First Name:LENKIYA
Middle Name:N
Last Name:BREWER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1714 FRANKLIN ST STE 100364
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-3488
Mailing Address - Country:US
Mailing Address - Phone:510-459-7286
Mailing Address - Fax:
Practice Address - Street 1:1219 106TH AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94603-3813
Practice Address - Country:US
Practice Address - Phone:510-459-7286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies