Provider Demographics
NPI:1528698503
Name:LEHMANN, ALEXIS LANE MATTHEWS (IBCLC)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:LANE MATTHEWS
Last Name:LEHMANN
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 ABBEY CT
Mailing Address - Street 2:
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939-2156
Mailing Address - Country:US
Mailing Address - Phone:908-783-8628
Mailing Address - Fax:
Practice Address - Street 1:27 ABBEY CT
Practice Address - Street 2:
Practice Address - City:FISHERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22939-2156
Practice Address - Country:US
Practice Address - Phone:908-783-8628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-18
Last Update Date:2020-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
L-157702174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
Provider Identifiers
StateIdentifier IDID TypeIssuer
L-157702OtherINTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS