Provider Demographics
NPI:1861188104
Name:LEHNE, ELLIE (DC)
Entity type:Individual
Prefix:
First Name:ELLIE
Middle Name:
Last Name:LEHNE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 S MOUNT JULIET RD STE 105
Mailing Address - Street 2:
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-6491
Mailing Address - Country:US
Mailing Address - Phone:615-553-2268
Mailing Address - Fax:
Practice Address - Street 1:650 S MOUNT JULIET RD STE 105
Practice Address - Street 2:
Practice Address - City:MOUNT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-6491
Practice Address - Country:US
Practice Address - Phone:615-553-2268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3714111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor