Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | R038285 | MD |
NPI | 1013003896 |
---|---|
Provider Name | Myrna Kay Lehner |
First Address | Salisbury, MD 21804-6959 |
Second Address | Salisbury, MD 21804 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 27/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
620291800 | (05) | MD |
64524201 | BLUE CROSS BLUE SHIELD (01) | MD |
G1130005 | BLUE CHOICE (01) | MD |