MEDICARE: MAGDALENA LEHMAN LCSW

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	1041C0700X	Clinical Social Worker	2060	KY

General Provider Information

NPI Number	:	1619236551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAGDALENA LEHMAN LCSW

Provider Business Mailing Address
First Line	:	436 W SECOND ST
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40507-1040
Country	:	US
Telephone Number	:	859-608-5717
Fax Number	:

Provider Business Practice Location Address
First Line	:	436 W SECOND ST
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40507-1040
Country	:	US
Telephone Number	:	859-608-5717
Fax Number	:

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

Provider Enumeration Date	:	05/13/2012
Last Update Date	:	05/13/2012

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