Healthcare Provider Details

I. General information

NPI: 1023058781
Provider Name (Legal Business Name): KRISTEN LEHMANN P.A., C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 02/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 BOWMAN DR SUITE E-100
VOORHEES NJ
08043-9623
US

IV. Provider business mailing address

4 EVES DR # A SUITE 100
MARLTON NJ
08053-3195
US

V. Phone/Fax

Practice location:
  • Phone: 609-267-9400
  • Fax: 609-267-9457
Mailing address:
  • Phone: 609-267-9400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMP662
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: