Provider Demographics
NPI:1871726091
Name:LEHMEN, COURTNEY KAY (DC)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:KAY
Last Name:LEHMEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:COURTNEY
Other - Middle Name:KAY
Other - Last Name:ZINDRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:9103 PHOENIX VILLAGE PKWY
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-4279
Mailing Address - Country:US
Mailing Address - Phone:636-265-2566
Mailing Address - Fax:866-418-4148
Practice Address - Street 1:9103 PHOENIX VILLAGE PKWY
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-4279
Practice Address - Country:US
Practice Address - Phone:636-265-2566
Practice Address - Fax:866-418-4148
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-04
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009014528111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOMA2047001Medicare PIN