Provider Demographics
NPI:1982401238
Name:LENSMAN, SONNY JOE
Entity type:Individual
Prefix:
First Name:SONNY
Middle Name:JOE
Last Name:LENSMAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 KRISTINA DR APT 8C
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTAINE
Mailing Address - State:OH
Mailing Address - Zip Code:43311-9671
Mailing Address - Country:US
Mailing Address - Phone:937-407-6579
Mailing Address - Fax:
Practice Address - Street 1:450 KRISTINA DR APT 8C
Practice Address - Street 2:
Practice Address - City:BELLEFONTAINE
Practice Address - State:OH
Practice Address - Zip Code:43311-9671
Practice Address - Country:US
Practice Address - Phone:937-407-6579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant