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Contact Information

SHAUN G LENCKI, MD
1000 E PRIMROSE ST STE 360
SPRINGFIELD, MO65807-5293
 Phone: 417-269-4037
 Fax: 417-269-6139
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for SHAUN G LENCKI · (Male)

NPI Number 1639167562
Status Active
Credentials MD
Entity Individual
Enumeration date 10/13/2005
Last updated 03/25/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME86568
  • MO License # 2020007993
  • FL Medicaid 265903400
  • FL Other 5361051 AETNA
  • FL Other 62954 BC/BS
  • FL Other N290176 HEALTHEASE (MEDICIAD HMO)
  • FL Other 202013798 TAX ID
Hospital affiliation(s)
  • COX MEDICAL CENTER - (Acute Care)
    3801 SOUTH NATIONAL AVENUE
    SPRINGFIELD, MO 65807
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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