Dimitry Lenikman
Driver in Mequon, WI. Individual provider (NPI-1).
NPI number1710025614
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1710025614
- Entity type
- Individual (NPI-1)
- Name
- Mr. Dimitry Lenikman
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 2, 2007
- Last updated
- Jul 9, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | – | – | Yes |
Practice location
1575 W Liebau RdMequon, WI 53092-2620
Phone 414-364-5056 · Fax 262-243-9987
Mailing address
1575 W Liebau RdMequon, WI 53092-2620
Phone 414-364-5056 · Fax 262-243-9987
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