Provider Demographics
NPI:1639641947
Name:LENSING, MOLLY M (PA)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:M
Last Name:LENSING
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:400 S MAIN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-7801
Mailing Address - Country:US
Mailing Address - Phone:501-368-0132
Mailing Address - Fax:501-368-0132
Practice Address - Street 1:812 OAK ST
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72032-4408
Practice Address - Country:US
Practice Address - Phone:501-327-7100
Practice Address - Fax:501-368-0123
Is Sole Proprietor?:No
Enumeration Date:2018-12-27
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARPA-822363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical