MEDICARE: MR. LEONARD DENNIS LENSE DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	5138	AZ

General Provider Information

NPI Number	:	1548334360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LEONARD DENNIS LENSE DC

Provider Business Mailing Address
First Line	:	7851 N BLACK CANYON HIGHWAY
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021
Country	:	US
Telephone Number	:	602-246-8600
Fax Number	:	602-246-8700

Provider Business Practice Location Address
First Line	:	7851 N BLACK CANYON HIGHWAY
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021
Country	:	US
Telephone Number	:	602-246-8600
Fax Number	:	602-246-8700

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	02/08/2026

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