Provider Demographics
NPI:1922648153
Name:LEHMAN, MEGAN JOY (FNP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:JOY
Last Name:LEHMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4369
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83711-4369
Mailing Address - Country:US
Mailing Address - Phone:406-219-7233
Mailing Address - Fax:
Practice Address - Street 1:5 W MENDENHALL ST
Practice Address - Street 2:SUITE 202
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715
Practice Address - Country:US
Practice Address - Phone:406-219-7233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-15
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT157413363L00000X
MTAPRN1574132084A0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner