Provider Demographics
NPI:1205221793
Name:LEHMAN, DEVON JAY JR (RN)
Entity type:Individual
Prefix:
First Name:DEVON
Middle Name:JAY
Last Name:LEHMAN
Suffix:JR
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4631 KOHLS CT
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-9189
Mailing Address - Country:US
Mailing Address - Phone:513-858-5409
Mailing Address - Fax:
Practice Address - Street 1:4631 KOHLS CT
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-9189
Practice Address - Country:US
Practice Address - Phone:513-858-5409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-01
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH290405286500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes286500000XHospitalsMilitary Hospital