Basic Information
Provider Information
NPI: 1881885796
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LEHMANN
FirstName: JULIE
MiddleName: ANN
NamePrefix:  
NameSuffix:  
Credential: ARNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 4907
Address2:  
City: DES MOINES
State: IA
PostalCode: 503064907
CountryCode: US
TelephoneNumber: 5158759925
FaxNumber: 5158759923
Practice Location
Address1: 1215 PLEASANT ST
Address2: STE 206
City: DES MOINES
State: IA
PostalCode: 503091416
CountryCode: US
TelephoneNumber: 5152415743
FaxNumber: 5152416474
Other Information
ProviderEnumerationDate: 08/06/2007
LastUpdateDate: 03/26/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200XH-087321IAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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