Basic Information
Provider Information
NPI: 1588701023
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LEHKY
FirstName: TANYA
MiddleName: J.
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 16516 KIPLING RD
Address2:  
City: DERWOOD
State: MD
PostalCode: 208551929
CountryCode: US
TelephoneNumber: 3014961015
FaxNumber: 3014028796
Practice Location
Address1: 10 CENTER DRIVE NIH
Address2: BUILDING 10, CRC, ROOM 7-5680
City: BETHESDA
State: MD
PostalCode: 208920001
CountryCode: US
TelephoneNumber: 3014961015
FaxNumber: 3014028796
Other Information
ProviderEnumerationDate: 02/01/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0600XD40082MDY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology

No ID Information.


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