Provider Demographics
NPI:1639471923
Name:LEHNERD, LACEY N (LPN)
Entity Type:Individual
Prefix:MISS
First Name:LACEY
Middle Name:N
Last Name:LEHNERD
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 GOETHE ST
Mailing Address - Street 2:#3
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-8935
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:143 GOETHE ST
Practice Address - Street 2:#3
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-8935
Practice Address - Country:US
Practice Address - Phone:330-421-1451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-19
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN132137164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse