1659543361 NPI number — D.C. LEHMAN, D.C., P.C.

Table of content: (NPI 1659543361)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659543361 NPI number — D.C. LEHMAN, D.C., P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
D.C. LEHMAN, D.C., P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659543361
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/02/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 312
Provider Second Line Business Mailing Address:
# 80 GARDEN CENTER, STE 300
Provider Business Mailing Address City Name:
BROOMFIELD
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80038-0312
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-466-4848
Provider Business Mailing Address Fax Number:
303-439-9467

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
80 GARDEN CTR STE 300
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROOMFIELD
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80020-7316
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-466-4848
Provider Business Practice Location Address Fax Number:
303-439-9467
Provider Enumeration Date:
04/02/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LEHMAN
Authorized Official First Name:
DEVERNE
Authorized Official Middle Name:
C.
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
303-466-4848

Provider Taxonomy Codes

  • Taxonomy code: 111NS0005X , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)