Provider Demographics
NPI:1841340148
Name:LEHMAN, JONATHAN DARREN (PA-C)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:DARREN
Last Name:LEHMAN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2320 ROTHSVILLE RD
Mailing Address - Street 2:SUITTE 200
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-8215
Mailing Address - Country:US
Mailing Address - Phone:717-721-4800
Mailing Address - Fax:717-626-1613
Practice Address - Street 1:2320 ROTHSVILLE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-8215
Practice Address - Country:US
Practice Address - Phone:717-721-4800
Practice Address - Fax:717-626-1613
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2015-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA052807363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
156585Medicare UPIN