Provider Demographics
NPI:1023077989
Name:LEHMAN, DEVERNE CLIFFORD (DC)
Entity type:Individual
Prefix:DR
First Name:DEVERNE
Middle Name:CLIFFORD
Last Name:LEHMAN
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 1:80 GARDEN CTR
Mailing Address - Street 2:STE 300
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-7087
Mailing Address - Country:US
Mailing Address - Phone:303-466-4848
Mailing Address - Fax:303-439-9467
Practice Address - Street 1:80 GARDEN CTR
Practice Address - Street 2:STE.300
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-7087
Practice Address - Country:US
Practice Address - Phone:303-466-4848
Practice Address - Fax:303-439-9467
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-20
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COC-959111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCOB5016Medicare PIN
COC11553Medicare ID - Type UnspecifiedMEDICARE