Basic Information
Provider Information
NPI: 1841231255
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LEHNER
FirstName: DOROTHY
MiddleName: ANN
NamePrefix: MRS.
NameSuffix:  
Credential: BSN RNC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3501 SE WILLOUGHBY BLVD
Address2:  
City: STUART
State: FL
PostalCode: 349945059
CountryCode: US
TelephoneNumber: 7722880304
FaxNumber: 7722881371
Practice Location
Address1: 3501 SE WILLOUGHBY BLVD
Address2:  
City: STUART
State: FL
PostalCode: 349945059
CountryCode: US
TelephoneNumber: 7722880304
FaxNumber: 7722881371
Other Information
ProviderEnumerationDate: 06/08/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WA2000XRN 2026422FLY Nursing Service ProvidersRegistered NurseAdministrator

No ID Information.


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