Provider Demographics
NPI:1356719355
Name:LEHN, KATIE ANN (RD)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:ANN
Last Name:LEHN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2970 N SWAN RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-6022
Mailing Address - Country:US
Mailing Address - Phone:520-429-3418
Mailing Address - Fax:520-306-5095
Practice Address - Street 1:2970 N SWAN RD
Practice Address - Street 2:SUITE 220
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-6022
Practice Address - Country:US
Practice Address - Phone:520-429-3418
Practice Address - Fax:520-306-5095
Is Sole Proprietor?:No
Enumeration Date:2015-09-08
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered