| NPI | 1225025745 |
|---|---|
| Former Name | AMANDA LYNN LEHENBAUER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 17833) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2005012062) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2009-06-04 |