Provider Demographics
NPI:1316949290
Name:LENCZOWSKI, JOI MICHELLE (MD)
Entity type:Individual
Prefix:
First Name:JOI
Middle Name:MICHELLE
Last Name:LENCZOWSKI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:301 CONCOURSE BLVD STE 190
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-5759
Mailing Address - Country:US
Mailing Address - Phone:804-549-4030
Mailing Address - Fax:804-549-4032
Practice Address - Street 1:7016 LEE PARK RD
Practice Address - Street 2:SUITE 100
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23111-3682
Practice Address - Country:US
Practice Address - Phone:804-730-2652
Practice Address - Fax:804-559-3067
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2018-12-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101237988207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
7307269OtherAETNA
0786762OtherCIGNA
537362OtherANTHEM
P01541696OtherRAILROAD MEDICARE
537362OtherANTHEM