Provider Demographics
NPI:1841653086
Name:LUEHMAN, LISA J (FNP-BC, NP-C)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:J
Last Name:LUEHMAN
Suffix:
Gender:F
Credentials:FNP-BC, NP-C
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:J
Other - Last Name:CHRISTOPHERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1142
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10802-1142
Mailing Address - Country:US
Mailing Address - Phone:914-296-9443
Mailing Address - Fax:914-614-4139
Practice Address - Street 1:500 W PUTNAM AVE STE 400
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-6096
Practice Address - Country:US
Practice Address - Phone:914-296-9443
Practice Address - Fax:914-614-4139
Is Sole Proprietor?:No
Enumeration Date:2016-04-04
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY340360363LF0000X
CT6514363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04743151Medicaid