Provider Demographics
NPI:1528130606
Name:LEHMAN, JUDITH KAY (RN, PHN, MSW)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:KAY
Last Name:LEHMAN
Suffix:
Gender:F
Credentials:RN, PHN, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17145 FREMONT ST
Mailing Address - Street 2:
Mailing Address - City:ESPARTO
Mailing Address - State:CA
Mailing Address - Zip Code:95627-2136
Mailing Address - Country:US
Mailing Address - Phone:530-787-1846
Mailing Address - Fax:
Practice Address - Street 1:170 W BEAMER ST
Practice Address - Street 2:STE 100
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95695-2666
Practice Address - Country:US
Practice Address - Phone:530-666-8240
Practice Address - Fax:530-666-8468
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN166394163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management