Provider Demographics
NPI:1730556614
Name:LEHMAN, TYLER BARCLAY (DC)
Entity type:Individual
Prefix:
First Name:TYLER
Middle Name:BARCLAY
Last Name:LEHMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8912 BLAKENEY PROFESSIONAL DR STE 100
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-6735
Mailing Address - Country:US
Mailing Address - Phone:803-984-0166
Mailing Address - Fax:
Practice Address - Street 1:8912 BLAKENEY PROFESSIONAL DR STE 100
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-6735
Practice Address - Country:US
Practice Address - Phone:803-984-0166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-27
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4595111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor