NPI 1003213034

Ian Edward Lehman, PAC

Practitioner Physician Assistant Grandville, MI

Practice location

Address: 6105 Wilson Ave SW STE 204, Grandville, MI 49418-9714
Phone: (616) 486-5421
Mailing address: 100 Michigan St NE # Mc845, Grand Rapids, MI 49503-2560

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5601007589 (MI)

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Registry record

NPI: 1003213034
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Nov 2014
Record last updated: 26 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.