Provider Demographics
NPI:1164741039
Name:LEHMAN, KRISTINA CATHERINE CELIA (DC)
Entity Type:Individual
Prefix:MRS
First Name:KRISTINA
Middle Name:CATHERINE CELIA
Last Name:LEHMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 S COURT ST
Mailing Address - Street 2:
Mailing Address - City:GRAYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62844-1579
Mailing Address - Country:US
Mailing Address - Phone:618-375-2771
Mailing Address - Fax:877-869-3818
Practice Address - Street 1:718 S COURT ST
Practice Address - Street 2:
Practice Address - City:GRAYVILLE
Practice Address - State:IL
Practice Address - Zip Code:62844-1579
Practice Address - Country:US
Practice Address - Phone:618-375-2771
Practice Address - Fax:877-869-3818
Is Sole Proprietor?:No
Enumeration Date:2010-05-18
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCHIA-1408111N00000X
OR4040111N00000X
IL038012259111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor