Provider Demographics
NPI:1881822542
Name:LEHMANN, JENNIFER MARIE (LMP)
Entity Type:Individual
Prefix:MISS
First Name:JENNIFER
Middle Name:MARIE
Last Name:LEHMANN
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:MARIE
Other - Last Name:DUDMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMP
Mailing Address - Street 1:2968 LIMITED LANE NW
Mailing Address - Street 2:SUITE A
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-4551
Mailing Address - Country:US
Mailing Address - Phone:360-705-1116
Mailing Address - Fax:360-236-0535
Practice Address - Street 1:2968 LIMITED LANE NW
Practice Address - Street 2:SUITE A
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-4551
Practice Address - Country:US
Practice Address - Phone:360-705-1116
Practice Address - Fax:360-236-0535
Is Sole Proprietor?:No
Enumeration Date:2009-07-01
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 00022530174400000X
WAMA00022530174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist