Provider Demographics
NPI:1891867081
Name:LEHMANN, TIMOTHY D (DC)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:D
Last Name:LEHMANN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 N GALLOWAY AVE STE B
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-2326
Mailing Address - Country:US
Mailing Address - Phone:972-285-6703
Mailing Address - Fax:972-285-3966
Practice Address - Street 1:1420 N GALLOWAY AVE STE B
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-2326
Practice Address - Country:US
Practice Address - Phone:972-285-6703
Practice Address - Fax:972-285-3966
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7952DCTX111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
8764BUMedicare ID - Type Unspecified
U89710Medicare UPIN