Provider Demographics
NPI:1114129715
Name:LEHMAN ENTERPRISES
Entity Type:Organization
Organization Name:LEHMAN ENTERPRISES
Other - Org Name:SMART EATING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CONSTANCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:260-593-2954
Mailing Address - Street 1:7810 W 600 S
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:IN
Mailing Address - Zip Code:46571-9116
Mailing Address - Country:US
Mailing Address - Phone:260-593-2954
Mailing Address - Fax:
Practice Address - Street 1:315 LEHMAN AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:IN
Practice Address - Zip Code:46571
Practice Address - Country:US
Practice Address - Phone:260-593-3486
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN37001532A133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN215100Medicare ID - Type UnspecifiedGROUP NUMBER