Provider Demographics
NPI:1275133084
Name:LEHMEN, MADISON (DC)
Entity Type:Individual
Prefix:DR
First Name:MADISON
Middle Name:
Last Name:LEHMEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:MADISON
Other - Middle Name:
Other - Last Name:HUOT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1016 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LINN
Mailing Address - State:MO
Mailing Address - Zip Code:65051-9782
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1016 E MAIN ST
Practice Address - Street 2:
Practice Address - City:LINN
Practice Address - State:MO
Practice Address - Zip Code:65051-9782
Practice Address - Country:US
Practice Address - Phone:573-897-0100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-30
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020032894111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor