Provider Demographics
NPI:1497505093
Name:LENCHA, TIGIST T
Entity Type:Individual
Prefix:
First Name:TIGIST
Middle Name:T
Last Name:LENCHA
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 1:7923 WISTAR WOODS CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-3695
Mailing Address - Country:US
Mailing Address - Phone:804-307-2385
Mailing Address - Fax:
Practice Address - Street 1:7923 WISTAR WOODS CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23228-3695
Practice Address - Country:US
Practice Address - Phone:804-307-2385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)