Edward Brent Lennon, USN IDC

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

100 Brewster Blvd
Camp Lejeune, NC 28547-2538

Phone

(910) 451-1053

NPI assigned

May 12, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1366492969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 LAKEVIEW AVE",
            "city": "RICHLANDS",
            "state": "NC",
            "postal_code": "285748235",
            "telephone_number": "910-324-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BREWSTER BLVD",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285472538",
            "telephone_number": "910-451-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENNON",
        "first_name": "EDWARD",
        "middle_name": "BRENT",
        "credential": "USN IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Andrew Lee, M.D.
• Thomas Lefebvre, MD
• Lana Leifels, ATC, LAT
• Haleigh Leister
• Jan Henrik Lemar, SOIDC
• Karl-Heinz Thomas Lenz, NAVY IDC
• Sharon Leonard, IDC
• William John Leonard, DDS
• Susanne Lester-Bennett, FNP
• Alex Michael Leurck, SOIDC

• Independent Duty Medical Technicians in Camp Lejeune, NC
• Providers in Camp Lejeune, NC by specialty
• Independent Duty Medical Technicians in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.