Individual
MR. IAN EDWARD LEHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6105 WILSON AVE SW STE 204, GRANDVILLE, MI 49418-9714
(616) 486-5421
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007589
MI
Other
Enumeration date
11/19/2014
Last updated
09/26/2022
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