Provider Demographics
NPI:1912313172
Name:LENKE, MATTHEW (DVM)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:
Last Name:LENKE
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1386 S STATE ROUTE 19
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:OH
Mailing Address - Zip Code:43449-9378
Mailing Address - Country:US
Mailing Address - Phone:419-898-3411
Mailing Address - Fax:419-898-2709
Practice Address - Street 1:1386 S STATE ROUTE 19
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:OH
Practice Address - Zip Code:43449-9378
Practice Address - Country:US
Practice Address - Phone:419-898-3411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-09
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH8890174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian