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NPI Code Detail

MEDICARE: SARA C LEHMAN PT

MEDICARE: SARA C LEHMAN PT
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
1225100000XPhysical Therapist70015484IL

General Provider Information

NPI Number : 1194881029
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA C LEHMAN PT
Provider Business Mailing Address
First Line : 205 W WACKER DR
Second Line : SUITE 1020
City : CHICAGO
State : IL
Zip : 60606-1216
Country : US
Telephone Number : 312-640-0329
Fax Number :
Provider Business Practice Location Address
First Line : 5101 N EXECUTIVE DR
Second Line :
City : PEORIA
State : IL
Zip : 61614-4868
Country : US
Telephone Number : 309-839-8631
Fax Number : 855-579-3536
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2006
Last Update Date : 09/15/2023

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