Provider Demographics
NPI:1962513879
Name:LEHMAN, LISA RANAE (RPH)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:RANAE
Last Name:LEHMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22902 W LONG LAKE RD
Mailing Address - Street 2:
Mailing Address - City:FORD
Mailing Address - State:WA
Mailing Address - Zip Code:99013-9507
Mailing Address - Country:US
Mailing Address - Phone:509-796-2123
Mailing Address - Fax:509-838-0268
Practice Address - Street 1:104 W 5TH AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-4880
Practice Address - Country:US
Practice Address - Phone:509-838-4117
Practice Address - Fax:509-838-0268
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00015727183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist