Provider Demographics
NPI:1851813125
Name:LEHMANN, AMANDA RAE (PHARMD)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:RAE
Last Name:LEHMANN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2440 CENTREVILLE RD
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21617-2802
Mailing Address - Country:US
Mailing Address - Phone:240-727-4175
Mailing Address - Fax:
Practice Address - Street 1:8174 OCEAN GTWY
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-7144
Practice Address - Country:US
Practice Address - Phone:410-763-6907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-08
Last Update Date:2022-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25260183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist