Provider Demographics
NPI:1659478360
Name:LEHMAN, MELANIE M (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:M
Last Name:LEHMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:M
Other - Last Name:STOLTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:3254 PROFESSIONAL DR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95602-2412
Mailing Address - Country:US
Mailing Address - Phone:530-888-1016
Mailing Address - Fax:530-888-1346
Practice Address - Street 1:3254 PROFESSIONAL DR
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95602
Practice Address - Country:US
Practice Address - Phone:530-888-1016
Practice Address - Fax:530-888-1346
Is Sole Proprietor?:No
Enumeration Date:2006-09-17
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA18062363AM0700X
363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0046090Medicaid
Q56908Medicare UPIN