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Contact Information

LIFESPAN FAMILY SERVICES
13035 W BLUEMOUND RD
SUITE 100
BROOKFIELD, WI53005-8001
 Phone: 262-784-9777
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LIFESPAN FAMILY SERVICES

NPI # 1992860035
LBN Legal business name LIFESPAN FAMILY SERVICES
Authorized official THOMAS LEHMANN - (PSYCHOLOGIST OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/27/2006
Last updated 06/24/2008 - About 18 years ago
Identifiers
WI License # 1507
WI Medicaid 42207900
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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