Provider Demographics
NPI:1346772506
Name:LEHMANN, RUTH AMBROSIA (DACM, LIC ACU, RN)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:AMBROSIA
Last Name:LEHMANN
Suffix:
Gender:F
Credentials:DACM, LIC ACU, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33300 5 MILE RD STE 105
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-3074
Mailing Address - Country:US
Mailing Address - Phone:248-479-2108
Mailing Address - Fax:
Practice Address - Street 1:33300 5 MILE RD STE 105
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-3074
Practice Address - Country:US
Practice Address - Phone:248-479-2108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-28
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI920-55171100000X
MI5402000086171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist