Provider Demographics
NPI:1366451460
Name:LEHNINGER, NICOLE ROSEMARIE (DMD)
Entity Type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:ROSEMARIE
Last Name:LEHNINGER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 GUILFORD DR
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34292-1628
Mailing Address - Country:US
Mailing Address - Phone:941-485-2569
Mailing Address - Fax:941-485-2569
Practice Address - Street 1:200 CAPRI ISLES BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34292-2335
Practice Address - Country:US
Practice Address - Phone:941-484-3885
Practice Address - Fax:941-484-1506
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN160101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice