Provider Demographics
NPI:1902098130
Name:ELENA JEAN LEMANSKI LMT
Entity Type:Organization
Organization Name:ELENA JEAN LEMANSKI LMT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MASSAGE THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:LEMANSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:727-647-9112
Mailing Address - Street 1:1982 ANCLOTE VIS
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-6263
Mailing Address - Country:US
Mailing Address - Phone:727-647-9187
Mailing Address - Fax:
Practice Address - Street 1:600 LAKEVIEW RD STE E
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3355
Practice Address - Country:US
Practice Address - Phone:727-647-9187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-12
Last Update Date:2007-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA14241225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty