Provider Demographics
NPI:1376195065
Name:LEHNEIS PROSTHETICS & ORTHOTICS, LTD.
Entity Type:Organization
Organization Name:LEHNEIS PROSTHETICS & ORTHOTICS, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:W
Authorized Official - Last Name:LEHNEIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-337-2001
Mailing Address - Street 1:200 TRADE ZONE DR STE C
Mailing Address - Street 2:
Mailing Address - City:RONKONKOMA
Mailing Address - State:NY
Mailing Address - Zip Code:11779-7359
Mailing Address - Country:US
Mailing Address - Phone:631-337-2001
Mailing Address - Fax:
Practice Address - Street 1:200 TRADE ZONE DR STE C
Practice Address - Street 2:
Practice Address - City:RONKONKOMA
Practice Address - State:NY
Practice Address - Zip Code:11779-7359
Practice Address - Country:US
Practice Address - Phone:631-337-2001
Practice Address - Fax:631-563-7596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-12
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier