Individual
DALE W LEHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2500 E PROSPECT RD, FORT COLLINS, CO 80525-9718
(970) 493-0112
Mailing address
2500 E PROSPECT RD, FORT COLLINS, CO 80525-9718
(970) 493-0112
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.0000904
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07009046
—
CO
01
—
970006598
RR MEDICARE
CO
Enumeration date
11/21/2005
Last updated
12/16/2019
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