Healthcare Provider Details

I. General information

NPI: 1124807839
Provider Name (Legal Business Name): BRIDGET RAE LEHMANN ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2023
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4140 E BASELINE RD STE 101
MESA AZ
85206-4413
US

IV. Provider business mailing address

652 N MARBLE ST
GILBERT AZ
85234-4802
US

V. Phone/Fax

Practice location:
  • Phone: 480-648-3712
  • Fax: 602-898-8473
Mailing address:
  • Phone: 480-648-7320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number231829
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number61494011
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: