Female

Michelle M. Lenahan PA-C

Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Michelle Marie Lenahan PA-C

NPI Number

1518799303

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/19/2024

Specialties

(Taxonomies)

Code

363A00000X
363AM0700X
363AS0400X

Primary Taxonomy

Yes
No
No

Licenses

State

Florida

License Number

PA9119427

Contact
Information

Purpose

Mailing
Location

Address

705 WELLS RD STE 300
8262 POINT MEADOWS DR STE 202

City

Orange Park
Jacksonville

State

FL
FL

Postal Code

32073-2982
32256-4702

Country

US
US

Telephone Number

(904) 621-0671
(904) 265-4310

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/04/2024

Provider Address

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