Jack W. Lenox, Ltd

NPI #1164698536 in Rockford, Illinois

Provider Information

NPI Number
1164698536
Entity Type
Organization
Organization Name
Jack W. Lenox, Ltd
Primary Specialty
Obstetrics & Gynecology - Gynecology
Enumeration Date
May 5, 2008
Last Updated
May 6, 2008

Practice Location

Address
1415 E STATE ST STE 800
ZIP Code
61104-2344
Phone
(815) 965-6644

Authorized Official

Name
JACK W LENOX
Title
PRESIDENT
Phone
(815) 965-6644

Specialties & Taxonomy Codes

Specialty
Obstetrics & Gynecology - GynecologyGynecology

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