Provider Demographics
NPI:1346381837
Name:LAHMANN, BRIAN E (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:E
Last Name:LAHMANN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1890 SILVER CROSS BLVD
Mailing Address - Street 2:SUITE 260
Mailing Address - City:NEW LENOX
Mailing Address - State:IL
Mailing Address - Zip Code:60451-9524
Mailing Address - Country:US
Mailing Address - Phone:815-717-8744
Mailing Address - Fax:815-717-8339
Practice Address - Street 1:1890 SILVER CROSS BLVD
Practice Address - Street 2:SUITE 260
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-9524
Practice Address - Country:US
Practice Address - Phone:815-717-8744
Practice Address - Fax:815-717-9339
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036111197208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036111197Medicaid
ILH05248Medicare UPIN
IL036111197Medicaid