Healthcare Provider Details

I. General information

NPI: 1497702625
Provider Name (Legal Business Name): JOAN B LEHMANN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 06/27/2023
Certification Date: 06/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4427 EMERSON ST
JACKSONVILLE FL
32207-4969
US

IV. Provider business mailing address

2420 S HIGHWAY 29
CANTONMENT FL
32533-5808
US

V. Phone/Fax

Practice location:
  • Phone: 904-398-7015
  • Fax:
Mailing address:
  • Phone: 850-968-3565
  • Fax: 850-968-3575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0044261
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberME132178
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: