Provider Demographics
NPI:1396004297
Name:LENCSE, ANDREA (LAC)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:LENCSE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:228 BRETON RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LEICESTER
Mailing Address - State:NC
Mailing Address - Zip Code:28748-9307
Mailing Address - Country:US
Mailing Address - Phone:828-275-2651
Mailing Address - Fax:
Practice Address - Street 1:228 BRETON RIDGE RD
Practice Address - Street 2:
Practice Address - City:LEICESTER
Practice Address - State:NC
Practice Address - Zip Code:28748-9307
Practice Address - Country:US
Practice Address - Phone:828-275-2651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-11
Last Update Date:2024-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMA0864225200000X
NCA4377225200000X
OR8755225200000X
WAP160262148225200000X
NCLAC-2241171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant