Provider Demographics
NPI:1659332286
Name:LEHMAN, NICHOLE A (DC)
Entity Type:Individual
Prefix:
First Name:NICHOLE
Middle Name:A
Last Name:LEHMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 E MARKET ST
Mailing Address - Street 2:STE 2
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2890
Mailing Address - Country:US
Mailing Address - Phone:717-751-0500
Mailing Address - Fax:717-814-5407
Practice Address - Street 1:1915 E MARKET ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-2839
Practice Address - Country:US
Practice Address - Phone:717-751-0500
Practice Address - Fax:717-814-5407
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007961L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01840381Medicaid
PA209146OtherMEDICARE PTAN
PA01840381Medicaid