Healthcare Provider Details

I. General information

NPI: 1154267862
Provider Name (Legal Business Name): TINA LEHMAN RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2026
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3892 WHITE ALDER WAY
VERO BEACH FL
32967-6126
US

IV. Provider business mailing address

3892 WHITE ALDER WAY
VERO BEACH FL
32967-6126
US

V. Phone/Fax

Practice location:
  • Phone: 301-807-4799
  • Fax: 301-807-4799
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number23675
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: