Provider Demographics
NPI:1992934079
Name:LEHSTEN, KEVIN JAMES (LPN)
Entity type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:JAMES
Last Name:LEHSTEN
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E LYNN ST
Mailing Address - Street 2:PO BOX 763
Mailing Address - City:PIONEER
Mailing Address - State:OH
Mailing Address - Zip Code:43554-7800
Mailing Address - Country:US
Mailing Address - Phone:419-737-1419
Mailing Address - Fax:
Practice Address - Street 1:100 E LYNN ST
Practice Address - Street 2:
Practice Address - City:PIONEER
Practice Address - State:OH
Practice Address - Zip Code:43554-7800
Practice Address - Country:US
Practice Address - Phone:419-737-1419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-09
Last Update Date:2009-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN. 127983 IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse