Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 2004006430 | MO |
NPI | 1649386384 |
---|---|
Provider Name | Dr. David V Lenihan |
First Address | Saint Louis, MO 63129-5064 |
Second Address | Saint Louis, MO 63129-5064 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2006 |
Last Update Date | 08/07/2007 |