Provider Demographics
NPI:1639514300
Name:ROHLEHR, LIA NICOLE (MA)
Entity Type:Individual
Prefix:
First Name:LIA
Middle Name:NICOLE
Last Name:ROHLEHR
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:484 ROQUETTE AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-3542
Mailing Address - Country:US
Mailing Address - Phone:516-658-8901
Mailing Address - Fax:
Practice Address - Street 1:484 ROQUETTE AVE
Practice Address - Street 2:
Practice Address - City:SOUTH FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-3542
Practice Address - Country:US
Practice Address - Phone:516-658-8901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-07
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program