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MR. DIMITRY LENIKMAN NPI 1710025614


NPI Information

NPI: 1710025614
Provider Name: MR. DIMITRY LENIKMAN
Classification: Driver - 172A00000X
Entity Type: Individual
Address:
1575 W LIEBAU RD
MEQUON, WI
ZIP 53092
Phone: (414) 364-5056
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MR. Dimitry Lenikman is a driver in Mequon, WI. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. MR. Dimitry Lenikman NPI is 1710025614. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1575 W LIEBAU RD
MEQUON, WI
ZIP 53092-620
Phone: (414) 364-5056
Fax: (262) 243-9987

The enumeration date for this NPI number is 2/2/2007 and was last updated on 7/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1172A00000XDriverYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
141474700MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.