Individual
CARLY LEHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(407) 648-3800
(407) 425-5203
Mailing address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(407) 648-3800
(407) 425-5203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
55159
CA
363AS0400X
Surgical Physician Assistant
019828
NY
363AS0400X
Surgical Physician Assistant
Primary
PA9112194
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103637200
—
FL
Enumeration date
07/13/2016
Last updated
10/08/2019
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