Provider Demographics
NPI:1598746091
Name:LEHMAN, TAMARA S (CRNP)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:S
Last Name:LEHMAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 PEACH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16501-2134
Mailing Address - Country:US
Mailing Address - Phone:814-877-7842
Mailing Address - Fax:814-877-7845
Practice Address - Street 1:1700 PEACH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16501-2134
Practice Address - Country:US
Practice Address - Phone:814-877-7842
Practice Address - Fax:814-877-7845
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP000689C363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA014853Medicare PIN
S62040Medicare UPIN