Provider Demographics
NPI:1184987430
Name:LENSSEN, APRIL (LAT)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:LENSSEN
Suffix:
Gender:F
Credentials:LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1844 RYAN RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:WI
Mailing Address - Zip Code:53406-2563
Mailing Address - Country:US
Mailing Address - Phone:414-491-7577
Mailing Address - Fax:
Practice Address - Street 1:900 WOOD RD
Practice Address - Street 2:
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53144-1133
Practice Address - Country:US
Practice Address - Phone:262-595-2164
Practice Address - Fax:262-595-2225
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1115-392255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer