Healthcare Provider Details

I. General information

NPI: 1699696757
Provider Name (Legal Business Name): MARY ELIZABETH LEHRIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 PINELLAS ST STE 300
CLEARWATER FL
33756-3314
US

IV. Provider business mailing address

11725 83RD AVE
SEMINOLE FL
33772-4013
US

V. Phone/Fax

Practice location:
  • Phone: 727-447-8100
  • Fax:
Mailing address:
  • Phone: 727-459-0803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11048993
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: