Healthcare Provider Details

I. General information

NPI: 1710896485
Provider Name (Legal Business Name): MR. NOLAN PENN LAHMANN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 ROSE ST
LEXINGTON KY
40536-0001
US

IV. Provider business mailing address

210 E HIGH ST
LEXINGTON KY
40507-9998
US

V. Phone/Fax

Practice location:
  • Phone: 630-805-0602
  • Fax:
Mailing address:
  • Phone: 800-275-8777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: