Provider Demographics
NPI:1477945483
Name:LEHMAN, CANDACE
Entity Type:Individual
Prefix:MRS
First Name:CANDACE
Middle Name:
Last Name:LEHMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:173 RICHARDS ST
Mailing Address - Street 2:
Mailing Address - City:SUMMERSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65571-8702
Mailing Address - Country:US
Mailing Address - Phone:417-362-0016
Mailing Address - Fax:
Practice Address - Street 1:173 RICHARDS ST
Practice Address - Street 2:
Practice Address - City:SUMMERSVILLE
Practice Address - State:MO
Practice Address - Zip Code:65571-8702
Practice Address - Country:US
Practice Address - Phone:417-362-0016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-27
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK7188164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse