Healthcare Provider Details

I. General information

NPI: 1528130606
Provider Name (Legal Business Name): JUDITH KAY LEHMAN R.N., P.H.N, M.S.W
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 W BEAMER ST STE 100
WOODLAND CA
95695-2666
US

IV. Provider business mailing address

17145 FREMONT ST
ESPARTO CA
95627-2136
US

V. Phone/Fax

Practice location:
  • Phone: 530-666-8240
  • Fax: 530-666-8468
Mailing address:
  • Phone: 530-787-1846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberRN166394
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: