Provider Demographics
NPI:1932771821
Name:LAHMAN, BONNIE GAIL (BS)
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:GAIL
Last Name:LAHMAN
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 AMESBURY DR APT 342
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70507-3556
Mailing Address - Country:US
Mailing Address - Phone:337-793-9121
Mailing Address - Fax:
Practice Address - Street 1:315 AMESBURY DR APT 342
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70507-3556
Practice Address - Country:US
Practice Address - Phone:337-793-9121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator