Provider Demographics
NPI:1487865267
Name:LEHMAN, TTHOMAS CHARLES (RPH)
Entity Type:Individual
Prefix:MR
First Name:TTHOMAS
Middle Name:CHARLES
Last Name:LEHMAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:529 TROY DR
Mailing Address - Street 2:PO 93
Mailing Address - City:CARROLL
Mailing Address - State:IA
Mailing Address - Zip Code:51401-1721
Mailing Address - Country:US
Mailing Address - Phone:712-792-1131
Mailing Address - Fax:712-792-2899
Practice Address - Street 1:859 HIGHWAY 30 E
Practice Address - Street 2:
Practice Address - City:CARROLL
Practice Address - State:IA
Practice Address - Zip Code:51401
Practice Address - Country:US
Practice Address - Phone:712-775-6337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA130471835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric