Provider Demographics
NPI:1487617551
Name:LEHMANN, SHARON (PNP)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:LEHMANN
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 OLD COLCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:CT
Mailing Address - Zip Code:06249-2324
Mailing Address - Country:US
Mailing Address - Phone:413-530-6259
Mailing Address - Fax:
Practice Address - Street 1:6 SOUTH ST
Practice Address - Street 2:
Practice Address - City:GRANBY
Practice Address - State:MA
Practice Address - Zip Code:01033-9572
Practice Address - Country:US
Practice Address - Phone:413-330-1277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA225748363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0031028Medicare UPIN
MANP4557Medicare PIN
MAQ15328Medicare UPIN