Provider Demographics
NPI:1851651251
Name:LEHRER-KATZMAN, BRENDA ANNE (LAC)
Entity Type:Individual
Prefix:MS
First Name:BRENDA
Middle Name:ANNE
Last Name:LEHRER-KATZMAN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:MS
Other - First Name:BRENDA
Other - Middle Name:ANNE
Other - Last Name:LEHRER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:430 OCEAN PARKWAY
Mailing Address - Street 2:6K
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-5065
Mailing Address - Country:US
Mailing Address - Phone:347-295-2610
Mailing Address - Fax:
Practice Address - Street 1:430 OCEAN PKWY
Practice Address - Street 2:6K
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-5048
Practice Address - Country:US
Practice Address - Phone:347-295-2610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-21
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004780-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist