MEDICARE: JESSICA LEHMAN PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	03230685	OH

General Provider Information

NPI Number	:	1174896617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA LEHMAN PHARMD

Provider Business Mailing Address
First Line	:	9111 KEPHART DR
Second Line	:
City	:	MENTOR
State	:	OH
Zip	:	44060-7049
Country	:	US
Telephone Number	:	216-469-6670
Fax Number	:

Provider Business Practice Location Address
First Line	:	9111 KEPHART DR
Second Line	:
City	:	WILLOUGHBY
State	:	OH
Zip	:	44060-7049
Country	:	US
Telephone Number	:	440-946-4357
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2012
Last Update Date	:	02/14/2012

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