Provider Demographics
NPI:1013003896
Name:LEHNER, MYRNA KAY (CPNP)
Entity Type:Individual
Prefix:
First Name:MYRNA
Middle Name:KAY
Last Name:LEHNER
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 MILFORD ST STE 201
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-6959
Mailing Address - Country:US
Mailing Address - Phone:410-543-1616
Mailing Address - Fax:
Practice Address - Street 1:106 MILFORD ST
Practice Address - Street 2:STE 201
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804
Practice Address - Country:US
Practice Address - Phone:410-543-1952
Practice Address - Fax:410-543-8497
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR038285363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD620291800Medicaid
MD64524201OtherBLUE CROSS BLUE SHIELD
MDG1130005OtherBLUE CHOICE