MEDICARE: TAMARA S LEHMAN CRNP

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	363LA2200X	Adult Health Nurse Practitioner	TP000689C	PA

General Provider Information

NPI Number	:	1598746091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMARA S LEHMAN CRNP

Provider Business Mailing Address
First Line	:	1700 PEACH ST
Second Line	:	SUITE 200
City	:	ERIE
State	:	PA
Zip	:	16501-2134
Country	:	US
Telephone Number	:	814-877-7842
Fax Number	:	814-877-7845

Provider Business Practice Location Address
First Line	:	1700 PEACH ST
Second Line	:	SUITE 200
City	:	ERIE
State	:	PA
Zip	:	16501-2134
Country	:	US
Telephone Number	:	814-877-7842
Fax Number	:	814-877-7845

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

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	05/15/2013

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