Provider Demographics
NPI:1154302040
Name:LENCHNER, GREGORY STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:STEVEN
Last Name:LENCHNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 CITY LINE AVE
Mailing Address - Street 2:WB113
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-3902
Mailing Address - Country:US
Mailing Address - Phone:610-896-0280
Mailing Address - Fax:610-896-0286
Practice Address - Street 1:1001 CITY LINE AVE
Practice Address - Street 2:WB113
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-3902
Practice Address - Country:US
Practice Address - Phone:610-896-0280
Practice Address - Fax:610-896-0286
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD018715E207RP1001X, 207RC0200X, 207RS0012X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000724360Medicaid
PAB39947Medicare UPIN
PALE150543Medicare ID - Type Unspecified