Individual
TANYA LEHINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4235 IRON DUKE CT, PEACHTREE CORNERS, GA 30097-2370
(518) 321-7090
Mailing address
4235 IRON DUKE CT, PEACHTREE CORNERS, GA 30097-2370
(518) 321-7090
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
228190
NY
207Q00000X
Family Medicine Physician
Primary
75989
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02566067
—
NY
01
—
P00882777
RR MEDICARE
NY
Enumeration date
11/03/2006
Last updated
02/17/2023
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