Healthcare Provider Details

I. General information

NPI: 1487617551
Provider Name (Legal Business Name): SHARON LEHMANN PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 08/03/2023
Certification Date: 08/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 SOUTH ST
GRANBY MA
01033-9572
US

IV. Provider business mailing address

15 OLD COLCHESTER RD
LEBANON CT
06249-2324
US

V. Phone/Fax

Practice location:
  • Phone: 413-330-1277
  • Fax:
Mailing address:
  • Phone: 413-530-6259
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number225748
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: