Provider Demographics
NPI:1003686502
Name:LEHMANN, CHARLES LEONARD (RN)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:LEONARD
Last Name:LEHMANN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4408 DUNLAP CROSSING ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-5959
Mailing Address - Country:US
Mailing Address - Phone:702-860-5747
Mailing Address - Fax:
Practice Address - Street 1:4408 DUNLAP CROSSING ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-5959
Practice Address - Country:US
Practice Address - Phone:702-860-5747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN85658163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH1000XNursing Service ProvidersRegistered NurseHospice