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Susan L Lehman

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NPI Number Detailed Information

Provider Information:

Name: Susan L Lehman
Gender: F
Provider License Number If Given: 4301066312

NPI Information:

NPI: 1134128671
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 2/22/2017

Provider Business Mailing Address:

Address: 906 BUSINESS PARK DR
Traverse City, MI 49686
Phone Number: 2319358750
Fax Number:

Provider Business Practice Location Address:

Address: 906 BUSINESS PARK DR
Traverse City, MI 49686
Phone Number: 2319358750
Fax Number:

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: MI

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