Provider Demographics
NPI:1124191713
Name:LEHMANN, TRACY M (CRNP)
Entity Type:Individual
Prefix:MS
First Name:TRACY
Middle Name:M
Last Name:LEHMANN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 MARY ST
Mailing Address - Street 2:APT 88
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17104-3535
Mailing Address - Country:US
Mailing Address - Phone:608-215-9658
Mailing Address - Fax:
Practice Address - Street 1:300 MARY ST
Practice Address - Street 2:APT 88
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17104-3535
Practice Address - Country:US
Practice Address - Phone:608-215-9658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP009232363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1919279OtherHIGHMARK BLUE SHIELD
PA211599OtherJOHNS HOPKINS
Q76915Medicare UPIN
PA211599OtherJOHNS HOPKINS