MEDICARE: MRS. KRISTINA CATHERINE CELIA LEHMAN D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CHIA-1408	ID
2	111N00000X	Chiropractor	4040	OR
3	111N00000X	Chiropractor	038012259	IL

General Provider Information

NPI Number	:	1164741039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KRISTINA CATHERINE CELIA LEHMAN D.C.

Provider Business Mailing Address
First Line	:	718 S COURT ST
Second Line	:
City	:	GRAYVILLE
State	:	IL
Zip	:	62844-1579
Country	:	US
Telephone Number	:	618-375-2771
Fax Number	:	877-869-3818

Provider Business Practice Location Address
First Line	:	718 S COURT ST
Second Line	:
City	:	GRAYVILLE
State	:	IL
Zip	:	62844-1579
Country	:	US
Telephone Number	:	618-375-2771
Fax Number	:	877-869-3818

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2010
Last Update Date	:	03/13/2013

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