Provider Demographics
NPI:1225620552
Name:LEHMIN LEON LLC
Entity Type:Organization
Organization Name:LEHMIN LEON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:BACHUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-210-9977
Mailing Address - Street 1:6624 BLONDO ST STE D
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-4642
Mailing Address - Country:US
Mailing Address - Phone:402-979-8300
Mailing Address - Fax:
Practice Address - Street 1:6624 BLONDO ST STE D
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68104-4642
Practice Address - Country:US
Practice Address - Phone:402-979-8300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-08
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care