Provider Demographics
NPI:1710485347
Name:LENSKI, CONNIE L
Entity Type:Individual
Prefix:
First Name:CONNIE
Middle Name:L
Last Name:LENSKI
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 1:20915 W RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85396-1588
Mailing Address - Country:US
Mailing Address - Phone:623-261-9122
Mailing Address - Fax:
Practice Address - Street 1:14418 W MEEKER BLVD STE 103
Practice Address - Street 2:
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-5290
Practice Address - Country:US
Practice Address - Phone:623-524-8351
Practice Address - Fax:623-524-8350
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-29
Last Update Date:2018-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology