Provider Demographics
NPI:1326232158
Name:LEHN, CASSANDRA MICHELLE (PA)
Entity Type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:MICHELLE
Last Name:LEHN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MISS
Other - First Name:CASSANDRA
Other - Middle Name:MICHELLE
Other - Last Name:HEINEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:251 COUNTY ROAD 120
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-4872
Mailing Address - Country:US
Mailing Address - Phone:320-202-8949
Mailing Address - Fax:320-202-0756
Practice Address - Street 1:402 RED RIVER AVE N
Practice Address - Street 2:
Practice Address - City:COLD SPRING
Practice Address - State:MN
Practice Address - Zip Code:56320-1521
Practice Address - Country:US
Practice Address - Phone:320-685-8641
Practice Address - Fax:320-685-4020
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1326232158Medicaid
MN970005731Medicare PIN