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NPI Code Detail

MEDICARE: VICTORIA MARIE LEHMAN OTRL

MEDICARE: VICTORIA MARIE LEHMAN OTRL
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
1106S00000XBehavior Technician
2225X00000XOccupational Therapist5201011177MI

General Provider Information

NPI Number : 1326578592
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA MARIE LEHMAN OTRL
Provider Business Mailing Address
First Line : PO BOX 520
Second Line :
City : WESTPHALIA
State : MI
Zip : 48894-0520
Country : US
Telephone Number : 989-640-0540
Fax Number :
Provider Business Practice Location Address
First Line : 4285 DEVELOPMENT DRIVE
Second Line :
City : LANSING
State : MI
Zip : 48911-4213
Country : US
Telephone Number : 517-706-0421
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2017
Last Update Date : 04/23/2021

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