Provider Demographics
NPI:1902235989
Name:LEHMAN, PAUL A (PPC)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:A
Last Name:LEHMAN
Suffix:
Gender:M
Credentials:PPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 DERRINGER CT
Mailing Address - Street 2:
Mailing Address - City:GILLETTE
Mailing Address - State:WY
Mailing Address - Zip Code:82718-4158
Mailing Address - Country:US
Mailing Address - Phone:307-696-0242
Mailing Address - Fax:
Practice Address - Street 1:605 DERRINGER CT
Practice Address - Street 2:
Practice Address - City:GILLETTE
Practice Address - State:WY
Practice Address - Zip Code:82718-4158
Practice Address - Country:US
Practice Address - Phone:307-696-0242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-11
Last Update Date:2013-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYPPC-765101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor