Provider Demographics
NPI:1700182003
Name:EHMAN, DANA LEIGH (IBCLC, RLC)
Entity type:Individual
Prefix:MRS
First Name:DANA
Middle Name:LEIGH
Last Name:EHMAN
Suffix:
Gender:F
Credentials:IBCLC, RLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 DOGWOOD LN
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-7375
Mailing Address - Country:US
Mailing Address - Phone:610-299-1038
Mailing Address - Fax:
Practice Address - Street 1:1008 DOGWOOD LN
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-7375
Practice Address - Country:US
Practice Address - Phone:610-299-1038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-03
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA10993658174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist