Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 9701032 | NC |
NPI | 1558321679 |
---|---|
Provider Name | Dr. Michael David Lenker |
First Address | Charlotte, NC 28222-1249 |
Second Address | Charlotte, NC 28211-1187 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2006 |
Last Update Date | 12/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
891076U | (05) | NC |
D98430 | (02) | |
N01033 | (05) | SC |