NPI | 1427583491 |
---|---|
Former Name | LAUREN A LEHMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085008310) |
Additional Taxonomies | 363A00000X Physician Assistant |
363A00000X Physician Assistant (Licence: WI 4121) | |
Enumeration Date | 2017-04-26 |
Last Update Date | 2022-09-12 |