Provider Demographics
NPI:1730725391
Name:LEHR, KRISTY LYNN (MA)
Entity type:Individual
Prefix:
First Name:KRISTY
Middle Name:LYNN
Last Name:LEHR
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 264
Mailing Address - Street 2:
Mailing Address - City:GUYMON
Mailing Address - State:OK
Mailing Address - Zip Code:73942-0264
Mailing Address - Country:US
Mailing Address - Phone:806-268-8119
Mailing Address - Fax:
Practice Address - Street 1:2256 ROAD X
Practice Address - Street 2:
Practice Address - City:GUYMON
Practice Address - State:OK
Practice Address - Zip Code:73942-2541
Practice Address - Country:US
Practice Address - Phone:806-268-8119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-19
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator