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Mr. Dimitry Lenikman
Driver in Mequon, Wisconsin
NPI 1710025614

Dimitry Lenikman is a Driver based in Mequon, WI. Dimitry Lenikman practices in Mequon, WI. The NPI Number for Dimitry Lenikman is 1710025614 and holds a License No. (Wisconsin).

The current practice location address for Dimitry Lenikman is 1575 W Liebau Rd, Mequon, WI and can be reached out via phone at 414-364-5056 and via fax at 262-243-9987.

Location: 1575 W Liebau Rd, Mequon, WI, 53092-2620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710025614
Provider Name
Dimitry Lenikman
Credential
Provider Entity Type
Individual
Gender
Male
Address
1575 W Liebau Rd, Mequon, WI, 53092-2620
Phone Number
414-364-5056
Fax Number
262-243-9987
Provider Enumeration Date
02/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
41474700 05 WI
institution
Provider Business Practice Location Address Details
Address
1575 W Liebau Rd
City
Mequon
State
Wisconsin
Zip
53092-2620
Phone Number
414-364-5056
Fax Number
262-243-9987
person
Provider Business Mailing Address Details
Address
1575 W Liebau Rd
City
Mequon
State
Wisconsin
Zip
53092-2620
Phone Number
414-364-5056
Fax Number
262-243-9987
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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