Provider Demographics
NPI:1205231347
Name:LENCIONI, LESHELLE
Entity Type:Individual
Prefix:
First Name:LESHELLE
Middle Name:
Last Name:LENCIONI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 INTERLOCKEN PKWY
Mailing Address - Street 2:STE A100
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-3497
Mailing Address - Country:US
Mailing Address - Phone:303-460-0329
Mailing Address - Fax:303-460-0387
Practice Address - Street 1:1218 3RD AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-3097
Practice Address - Country:US
Practice Address - Phone:206-447-2220
Practice Address - Fax:206-447-2228
Is Sole Proprietor?:No
Enumeration Date:2014-10-31
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00128702251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic