Provider Demographics
NPI:1073832655
Name:LEHNERT, WENDY GRACE (MAOM)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:GRACE
Last Name:LEHNERT
Suffix:
Gender:F
Credentials:MAOM
Other - Prefix:PROF
Other - First Name:WENDY
Other - Middle Name:GRACE
Other - Last Name:LEHNERT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:431 RICHARDSON RD
Mailing Address - Street 2:
Mailing Address - City:ASHBY
Mailing Address - State:MA
Mailing Address - Zip Code:01431-2007
Mailing Address - Country:US
Mailing Address - Phone:978-386-7158
Mailing Address - Fax:
Practice Address - Street 1:2 NARROWS RD
Practice Address - Street 2:SUITE 101A
Practice Address - City:WESTMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01473-1677
Practice Address - Country:US
Practice Address - Phone:978-874-1180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-22
Last Update Date:2010-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA237860171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist