Provider Demographics
NPI:1740015841
Name:DOHLMAN, STEPHANIE LEAN
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:LEAN
Last Name:DOHLMAN
Suffix:
Gender:F
Credentials:
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 187
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:OK
Mailing Address - Zip Code:74825-0187
Mailing Address - Country:US
Mailing Address - Phone:405-221-7020
Mailing Address - Fax:866-201-3530
Practice Address - Street 1:32018 HWY 59 OK
Practice Address - Street 2:
Practice Address - City:MAUD
Practice Address - State:OK
Practice Address - Zip Code:74854-0008
Practice Address - Country:US
Practice Address - Phone:405-374-1225
Practice Address - Fax:866-201-3530
Is Sole Proprietor?:No
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No175T00000XOther Service ProvidersPeer Specialist