Basic Information
| Provider Information | |||||||||
| NPI: | 1366980286 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LEHR | ||||||||
| FirstName: | LAUREN | ||||||||
| MiddleName: | KATHRYN | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | MSW, LICSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1511 PORTLAND AVE | ||||||||
| Address2: | |||||||||
| City: | SAINT PAUL | ||||||||
| State: | MN | ||||||||
| PostalCode: | 551047666 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9204205081 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 347 SMITH AVE N | ||||||||
| Address2: | |||||||||
| City: | SAINT PAUL | ||||||||
| State: | MN | ||||||||
| PostalCode: | 551022387 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6512206479 | ||||||||
| FaxNumber: | 6512206393 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/11/2017 | ||||||||
| LastUpdateDate: | 02/11/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 22052 | MN | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.