Healthcare Provider Details

I. General information

NPI: 1174706170
Provider Name (Legal Business Name): HEIDI D. LENCOSKI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2007
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5054 WATERFORD DR
SHEFFIELD VILLAGE OH
44035-1497
US

IV. Provider business mailing address

PO BOX 636643
CINCINNATI OH
45263-6643
US

V. Phone/Fax

Practice location:
  • Phone: 440-934-8344
  • Fax: 440-934-8345
Mailing address:
  • Phone: 440-989-3801
  • Fax: 440-960-0264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35092835
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: