Healthcare Provider Details

I. General information

NPI: 1447213210
Provider Name (Legal Business Name): LAUREN PATE LEHMANN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 12/29/2022
Certification Date: 12/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1970 ROANOKE BLVD PSYCHIATRY 116A4
SALEM VA
24153-6404
US

IV. Provider business mailing address

1970 ROANOKE BLVD PSYCHIATRY 116A4
SALEM VA
24153-6404
US

V. Phone/Fax

Practice location:
  • Phone: 540-982-2463
  • Fax: 540-983-1078
Mailing address:
  • Phone: 540-982-2463
  • Fax: 540-983-1078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number48990
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number0101048990
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: