MEDICARE: MICHAEL RONAL LEHAN

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	183500000X	Pharmacist	RP037516L	PA

General Provider Information

NPI Number	:	1952690562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL RONAL LEHAN

Provider Business Mailing Address
First Line	:	104 W FOOTHILLS DR
Second Line	:
City	:	DRUMS
State	:	PA
Zip	:	18222-2412
Country	:	US
Telephone Number	:	570-788-4420
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 W 2ND ST
Second Line	:
City	:	BERWICK
State	:	PA
Zip	:	18603-4635
Country	:	US
Telephone Number	:	570-752-5200
Fax Number	:

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

Provider Enumeration Date	:	04/04/2011
Last Update Date	:	04/04/2011

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Directions to “ MICHAEL RONAL LEHAN ” Practice Location

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