Provider Demographics
NPI:1174760771
Name:LEHNER, RENEE MARY JASZCZ (LPN)
Entity type:Individual
Prefix:MISS
First Name:RENEE MARY
Middle Name:JASZCZ
Last Name:LEHNER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 E GRAND BLVD
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-4113
Mailing Address - Country:US
Mailing Address - Phone:716-510-3436
Mailing Address - Fax:
Practice Address - Street 1:16 E GRAND BLVD
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225-4113
Practice Address - Country:US
Practice Address - Phone:716-510-3436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-20
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY295781164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse