Provider Demographics
NPI:1659782738
Name:LEHMAN, SHAREN KAY (INDEPENDENT STNA)
Entity Type:Individual
Prefix:MS
First Name:SHAREN
Middle Name:KAY
Last Name:LEHMAN
Suffix:
Gender:F
Credentials:INDEPENDENT STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1106 CAMPBELL AVE
Mailing Address - Street 2:
Mailing Address - City:NEW CARLISLE
Mailing Address - State:OH
Mailing Address - Zip Code:45344-2834
Mailing Address - Country:US
Mailing Address - Phone:937-849-6822
Mailing Address - Fax:
Practice Address - Street 1:1106 CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:NEW CARLISLE
Practice Address - State:OH
Practice Address - Zip Code:45344-2834
Practice Address - Country:US
Practice Address - Phone:937-849-6822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-12
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH401176131210374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2865065Medicaid
OH401176131210OtherNURSE AIDE REGISTRY