Provider Demographics
NPI:1336170695
Name:LENSGRAF, ALAN COLE (DC)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:COLE
Last Name:LENSGRAF
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11320 KINGSTON PIKE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-2858
Mailing Address - Country:US
Mailing Address - Phone:865-675-2663
Mailing Address - Fax:865-675-5189
Practice Address - Street 1:11320 KINGSTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-2858
Practice Address - Country:US
Practice Address - Phone:865-675-2663
Practice Address - Fax:865-675-5189
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN446111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNT74685Medicare UPIN
TN3674533Medicare ID - Type Unspecified