Provider Demographics
NPI:1801008214
Name:LEHMAN, WENDY ANN (RDN)
Entity type:Individual
Prefix:MS
First Name:WENDY
Middle Name:ANN
Last Name:LEHMAN
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7115 N DIVISION ST STE B
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-6507
Mailing Address - Country:US
Mailing Address - Phone:717-385-1437
Mailing Address - Fax:
Practice Address - Street 1:1504 W GLASS AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-2625
Practice Address - Country:US
Practice Address - Phone:717-385-1437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-06
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133V00000X
WADI60542786133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
13912OtherCDR
WA1801008214Medicaid
WAG8938634, G8938635Medicare PIN