Most Relevant Information
Provider Data
| NPI Number: | 1003213034 |
| Provider Name: | IAN EDWARD LEHMAN PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 5601007589 |
Most Important Dates
| Enumeration Date: | 11/19/2014 |
| Last Updated: | 09/26/2022 |
Provider Practice Location
6105 WILSON AVE SW STE 204
GRANDVILLE
MI
494189714
Practice Location Phone/Fax
| Phone: | 6164865421 |
| Fax: |
Provider Mailing Location
100 MICHIGAN ST NE # MC845
GRAND RAPIDS
MI
495032560
Provider Mailing Phone/Fax
| Phone: | 6164866790 |
| Fax: |