Provider Demographics
NPI:1750998555
Name:A. LEE TOWNSEND, D.D.S., P.C.
Entity type:Organization
Organization Name:A. LEE TOWNSEND, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:L
Authorized Official - Last Name:TOWNSEND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:517-487-6311
Mailing Address - Street 1:934 N WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48906-5180
Mailing Address - Country:US
Mailing Address - Phone:517-487-6311
Mailing Address - Fax:517-487-6321
Practice Address - Street 1:934 N WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48906-5180
Practice Address - Country:US
Practice Address - Phone:517-487-6311
Practice Address - Fax:517-487-6321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-25
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental