Provider Demographics
NPI:1497714158
Name:LEHMAN, CAROL SUSAN (CFNP)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:SUSAN
Last Name:LEHMAN
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:765 WOODLAND TRACE LN
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-6609
Mailing Address - Country:US
Mailing Address - Phone:888-551-2538
Mailing Address - Fax:844-364-2629
Practice Address - Street 1:765 WOODLAND TRACE LN
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-6609
Practice Address - Country:US
Practice Address - Phone:888-551-2538
Practice Address - Fax:844-364-2629
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0002558-NP363L00000X
CO84215363L00000X
TN36356363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO42783551Medicaid
TNQ096920Medicaid