Individual
GRANT LYNN LEHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24470 67TH ST, BANGOR, MI 49013-9804
(269) 214-1353
Mailing address
24470 67TH ST, BANGOR, MI 49013-9804
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003712
MI
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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