Provider Demographics
NPI:1366714172
Name:LEHEY, LAURIE NELSON (LAC)
Entity type:Individual
Prefix:MS
First Name:LAURIE
Middle Name:NELSON
Last Name:LEHEY
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:381 FERDON AVE
Mailing Address - Street 2:
Mailing Address - City:PIERMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10968-1203
Mailing Address - Country:US
Mailing Address - Phone:845-365-0530
Mailing Address - Fax:
Practice Address - Street 1:381 FERDON AVE
Practice Address - Street 2:
Practice Address - City:PIERMONT
Practice Address - State:NY
Practice Address - Zip Code:10968-1203
Practice Address - Country:US
Practice Address - Phone:845-365-0530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004686-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist