Basic Information
Provider Information
NPI: 1922247311
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LEHMANN
FirstName: ROBIN
MiddleName: SUZETTE
NamePrefix:  
NameSuffix:  
Credential: O.T.R.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 303 SE 17TH ST
Address2: #309-217
City: OCALA
State: FL
PostalCode: 344714421
CountryCode: US
TelephoneNumber: 3526933378
FaxNumber: 8887589645
Practice Location
Address1: 5036 SE 110TH ST
Address2:  
City: BELLEVIEW
State: FL
PostalCode: 344203116
CountryCode: US
TelephoneNumber: 3526933378
FaxNumber: 8887589645
Other Information
ProviderEnumerationDate: 02/10/2009
LastUpdateDate: 02/10/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000XOT11442FLY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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