Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | D0044261 | MD |
N | 207QA0401X | Family Doctor - Addiction Medicine | ME132178 | FL |
NPI | 1497702625 |
---|---|
Provider Name | Joan B Lehmann |
First Address | Cantonment, FL 32533-5808 |
Second Address | Cantonment, FL 32533-5808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2006 |
Last Update Date | 27/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
874600100 | (05) | MD |
F79322 | (02) | MD |