Basic Information
Provider Information
NPI: 1447213210
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LEHMANN
FirstName: LAUREN
MiddleName: PATE
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1970 ROANOKE BLVD
Address2: PSYCHIATRY 116A4
City: SALEM
State: VA
PostalCode: 241536404
CountryCode: US
TelephoneNumber: 5409822463
FaxNumber: 5409831078
Practice Location
Address1: 1970 ROANOKE BLVD
Address2: PSYCHIATRY 116A4
City: SALEM
State: VA
PostalCode: 241536404
CountryCode: US
TelephoneNumber: 5409822463
FaxNumber: 5409831078
Other Information
ProviderEnumerationDate: 04/11/2006
LastUpdateDate: 01/04/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/04/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X48990VAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
2084A0401X0101048990VAN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine

No ID Information.


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