Provider Demographics
NPI:1457625162
Name:LENNOX, DENNIS J (AP)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:J
Last Name:LENNOX
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 W 24TH ST
Mailing Address - Street 2:335
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-4609
Mailing Address - Country:US
Mailing Address - Phone:786-269-4541
Mailing Address - Fax:
Practice Address - Street 1:255 W 24TH ST
Practice Address - Street 2:335
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-4609
Practice Address - Country:US
Practice Address - Phone:786-269-4541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-27
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP-757171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC0293OtherBLUE CROSS BLUE SHIELD PROVIDER NUMBER