MR. Dimitry Lenikman

NPI #1710025614 in Mequon, Wisconsin

Provider Information

NPI Number: 1710025614
Entity Type: Individual
Name: MR. Dimitry Lenikman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Feb 2, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 1575 W LIEBAU RD
City: Mequon
State: Wisconsin
ZIP Code: 53092-2620
Phone: (414) 364-5056

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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