Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 25MB08393300 | NJ |
N | 207P00000X | Emergency Physician | OS014933 | PA |
Y | 2086S0102X | Surgical Critical Care | OS014933 | PA |
NPI | 1144477589 |
---|---|
Provider Name | Dr. Evan Brody Lenkowsky |
First Address | Danville, PA 17822-4903 |
Second Address | Danville, PA 17822-3902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2008 |
Last Update Date | 20/11/2019 |