Individual
BLYTHE LUCY ANN LEHMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 FOLSOM RD STE B, ROSEVILLE, CA 95678-2767
(916) 798-0662
(916) 872-1531
Mailing address
420 FOLSOM RD STE B, ROSEVILLE, CA 95678-2767
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
5401
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81-3288524
KAISER
CA
Enumeration date
12/04/2019
Last updated
12/04/2019
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