Individual
LESLIE PENSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 DELAWARE ST SE, MMC 284, MINNEAPOLIS, MN 55455
(612) 626-5454
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
70775
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2019
Last updated
07/05/2022
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