Basic Information
Provider Information
NPI: 1902301674
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LEHR
FirstName: MELISSA
MiddleName: ANN
NamePrefix:  
NameSuffix:  
Credential: NP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2000 FOULK RD STE F
Address2:  
City: WILMINGTON
State: DE
PostalCode: 198103642
CountryCode: US
TelephoneNumber: 3026528990
FaxNumber: 3026528646
Practice Location
Address1: 2000 FOULK RD STE F
Address2:  
City: WILMINGTON
State: DE
PostalCode: 198103642
CountryCode: US
TelephoneNumber: 3026528990
FaxNumber: 3026528646
Other Information
ProviderEnumerationDate: 03/26/2018
LastUpdateDate: 03/26/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XLG-0001130DEY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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