Provider Demographics
NPI:1245797752
Name:LEHRMAN, ERIC WALSH (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:WALSH
Last Name:LEHRMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12345 S MEMORIAL DR STE 111
Mailing Address - Street 2:
Mailing Address - City:BIXBY
Mailing Address - State:OK
Mailing Address - Zip Code:74008-2570
Mailing Address - Country:US
Mailing Address - Phone:918-394-9400
Mailing Address - Fax:
Practice Address - Street 1:12345 S MEMORIAL DR STE 111
Practice Address - Street 2:
Practice Address - City:BIXBY
Practice Address - State:OK
Practice Address - Zip Code:74008-2570
Practice Address - Country:US
Practice Address - Phone:918-394-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-21
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4315111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor