Provider Demographics
NPI:1003528084
Name:TENZING, LOBSANG
Entity Type:Individual
Prefix:
First Name:LOBSANG
Middle Name:
Last Name:TENZING
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1213 MEADOW SWEET DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-4516
Mailing Address - Country:US
Mailing Address - Phone:608-829-1037
Mailing Address - Fax:
Practice Address - Street 1:WILLIAM S MIDDLETON HOSPITAL
Practice Address - Street 2:2500 OVERLOOK TERRACE
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705-2286
Practice Address - Country:US
Practice Address - Phone:608-256-1901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-21
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI140267163W00000X, 163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No163WC0400XNursing Service ProvidersRegistered NurseCase Management