Provider Demographics
NPI:1568856748
Name:LEHMAN, RICHARD (LMT)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:
Last Name:LEHMAN
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 S 2ND ST
Mailing Address - Street 2:SUITE #1
Mailing Address - City:FLAGLER BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32136-6603
Mailing Address - Country:US
Mailing Address - Phone:386-693-1363
Mailing Address - Fax:
Practice Address - Street 1:209 S 2ND ST
Practice Address - Street 2:SUITE #1
Practice Address - City:FLAGLER BEACH
Practice Address - State:FL
Practice Address - Zip Code:32136-6603
Practice Address - Country:US
Practice Address - Phone:386-693-1363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-25
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA64957172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist