Basic Information
| Provider Information | |||||||||
| NPI: | 1801946702 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LEHMAN | ||||||||
| FirstName: | KAY | ||||||||
| MiddleName: | F | ||||||||
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| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 575 E RIVER RD | ||||||||
| Address2: | |||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857045822 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5208744135 | ||||||||
| FaxNumber: | 5208747048 | ||||||||
| Practice Location | |||||||||
| Address1: | 2800 E AJO WAY | ||||||||
| Address2: | |||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857136204 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5208744135 | ||||||||
| FaxNumber: | 5208747048 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/11/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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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 | 163WW0000X | RN 077736 | AZ | X | Nursing Service Providers | Registered Nurse | Wound Care | 163WX1500X | RN077736 | AZ | X | Nursing Service Providers | Registered Nurse | Ostomy Care |
ID Information
| ID | Type | State | Issuer | Description | RN077736 | 01 | AZ | RN LICENSE | OTHER |