Provider Demographics
NPI:1194548875
Name:LEHMAN, HEATHER DAWN
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:DAWN
Last Name:LEHMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16601 BUFFALO WAY
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-6036
Mailing Address - Country:US
Mailing Address - Phone:405-532-8153
Mailing Address - Fax:
Practice Address - Street 1:16601 BUFFALO WAY
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-6036
Practice Address - Country:US
Practice Address - Phone:405-532-8153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-01
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0120053163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse