MEDICARE: JUDITH KAY LEHMAN R.N., P.H.N, M.S.W

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	163WC0400X	Case Management Registered Nurse	RN166394	CA

General Provider Information

NPI Number	:	1528130606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDITH KAY LEHMAN R.N., P.H.N, M.S.W

Provider Business Mailing Address
First Line	:	17145 FREMONT ST
Second Line	:
City	:	ESPARTO
State	:	CA
Zip	:	95627-2136
Country	:	US
Telephone Number	:	530-787-1846
Fax Number	:

Provider Business Practice Location Address
First Line	:	170 W BEAMER ST
Second Line	:	STE 100
City	:	WOODLAND
State	:	CA
Zip	:	95695-2666
Country	:	US
Telephone Number	:	530-666-8240
Fax Number	:	530-666-8468

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

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	07/08/2007

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