Provider Demographics
NPI:1558537928
Name:LENSKY, MICHAL ROBERT (RPH)
Entity Type:Individual
Prefix:MR
First Name:MICHAL
Middle Name:ROBERT
Last Name:LENSKY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1628 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-1606
Mailing Address - Country:US
Mailing Address - Phone:206-622-0582
Mailing Address - Fax:206-343-2328
Practice Address - Street 1:2345 42ND AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-2513
Practice Address - Country:US
Practice Address - Phone:206-932-7437
Practice Address - Fax:206-932-7440
Is Sole Proprietor?:No
Enumeration Date:2008-05-05
Last Update Date:2013-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00072844183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist