Individual
LENSA GODANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2130 COUNTY ROAD E W, NEW BRIGHTON, MN 55112-7181
(720) 261-5946
Mailing address
8350 E YALE AVE APT J208, DENVER, CO 80231-3869
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-146-0662
DRIVER LICENSE
CO
Enumeration date
11/25/2018
Last updated
11/25/2018
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