MEDICARE: MS. ROBIN T. LENSCH ATC

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	2255A2300X	Athletic Trainer	AT1001	OH

General Provider Information

NPI Number	:	1912933383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROBIN T. LENSCH ATC

Provider Business Mailing Address
First Line	:	5385 NEW BURLINGTON RD
Second Line	:
City	:	WILMINGTON
State	:	OH
Zip	:	45177-9436
Country	:	US
Telephone Number	:	937-488-1052
Fax Number	:	937-208-9343

Provider Business Practice Location Address
First Line	:	5385 NEW BURLINGTON RD
Second Line	:
City	:	WILMINGTON
State	:	OH
Zip	:	45177-9436
Country	:	US
Telephone Number	:	937-488-1052
Fax Number	:	937-208-9343

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

Provider Enumeration Date	:	06/25/2006
Last Update Date	:	07/08/2007

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