Individual
GINA R LEMENSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1806 W BELTLINE HWY, MADISON, WI 53713-2334
(608) 250-1485
(608) 250-1456
Mailing address
1806 W BELTLINE HWY, MADISON, WI 53713-2334
(608) 250-1485
(608) 250-1456
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5153-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61384
DEAN HEALTH INSURANCE
WI
Enumeration date
12/03/2012
Last updated
11/03/2014
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