Provider Demographics
NPI:1255329769
Name:LEHRER, LINDA HAINES (CRNP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:HAINES
Last Name:LEHRER
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:PO BOX 608
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-0608
Mailing Address - Country:US
Mailing Address - Phone:412-680-9520
Mailing Address - Fax:
Practice Address - Street 1:875 GREENTREE RD
Practice Address - Street 2:ONE PARKWAY CTR SUITE 100
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-3508
Practice Address - Country:US
Practice Address - Phone:412-388-8042
Practice Address - Fax:412-563-2657
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP005578C363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA030832OtherPIN
PA01881491Medicaid
PAS88027Medicare UPIN