Provider Demographics
NPI:1679966469
Name:LEHMAN, KATHERINE (ND DTR CNHP)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:LEHMAN
Suffix:
Gender:F
Credentials:ND DTR CNHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16095 PROSPERITY DR STE 300
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-4320
Mailing Address - Country:US
Mailing Address - Phone:317-773-5286
Mailing Address - Fax:
Practice Address - Street 1:16095 PROSPERITY DR STE 300
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-4320
Practice Address - Country:US
Practice Address - Phone:317-773-5286
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-18
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN834527136A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes136A00000XDietary & Nutritional Service ProvidersDietetic Technician, Registered