Provider Demographics
NPI:1922140789
Name:LEHEW, DIRK A (RPH)
Entity Type:Individual
Prefix:MR
First Name:DIRK
Middle Name:A
Last Name:LEHEW
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8303 N LILLY LN
Mailing Address - Street 2:HC 32 BOX 2508
Mailing Address - City:KINGMAN
Mailing Address - State:AZ
Mailing Address - Zip Code:86409-1475
Mailing Address - Country:US
Mailing Address - Phone:928-279-2790
Mailing Address - Fax:
Practice Address - Street 1:4823 S HIGHWAY 95
Practice Address - Street 2:
Practice Address - City:FORT MOHAVE
Practice Address - State:AZ
Practice Address - Zip Code:86426-8314
Practice Address - Country:US
Practice Address - Phone:928-704-4443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10497183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist