Provider Demographics
NPI:1811293061
Name:LEHMAN, NATHAN DAVID (CRNA)
Entity type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:DAVID
Last Name:LEHMAN
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:968 N FORK DAM RD
Mailing Address - Street 2:
Mailing Address - City:BOSWELL
Mailing Address - State:PA
Mailing Address - Zip Code:15531-1826
Mailing Address - Country:US
Mailing Address - Phone:814-629-1688
Mailing Address - Fax:
Practice Address - Street 1:968 N FORK DAM RD
Practice Address - Street 2:
Practice Address - City:BOSWELL
Practice Address - State:PA
Practice Address - Zip Code:15531-1826
Practice Address - Country:US
Practice Address - Phone:814-629-1688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-07
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN524217L367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered