Healthcare Provider Details

I. General information

NPI: 1023077989
Provider Name (Legal Business Name): DEVERNE CLIFFORD LEHMAN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2006
Last Update Date: 05/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 GARDEN CTR STE.300
BROOMFIELD CO
80020-7087
US

IV. Provider business mailing address

80 GARDEN CTR STE 300
BROOMFIELD CO
80020-7087
US

V. Phone/Fax

Practice location:
  • Phone: 303-466-4848
  • Fax: 303-439-9467
Mailing address:
  • Phone: 303-466-4848
  • Fax: 303-439-9467

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberC-959
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: