Basic Information
Provider Information
NPI: 1487726840
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORROW
FirstName: LENTON
MiddleName: JOBY
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2600 N ST APT 6
Address2:  
City: SACRAMENTO
State: CA
PostalCode: 958165900
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 4860 Y ST
Address2: STE 1600
City: SACRAMENTO
State: CA
PostalCode: 958172307
CountryCode: US
TelephoneNumber: 9167342833
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/14/2006
LastUpdateDate: 06/09/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XA97241CAY Allopathic & Osteopathic PhysiciansFamily Medicine 
2084P0800XA97241CAN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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