Provider Demographics
NPI:1023250735
Name:LEHMAN, GINA MARIE (DC)
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:MARIE
Last Name:LEHMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4893 UTICA RIDGE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52807-3081
Mailing Address - Country:US
Mailing Address - Phone:563-359-5600
Mailing Address - Fax:563-359-5601
Practice Address - Street 1:4893 UTICA RIDGE RD STE 101
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52807-3081
Practice Address - Country:US
Practice Address - Phone:563-359-5600
Practice Address - Fax:563-359-5601
Is Sole Proprietor?:No
Enumeration Date:2009-03-26
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011381111N00000X
IA007190111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor