Provider Demographics
NPI:1376509232
Name:LENHARD, JULIE M (MD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:M
Last Name:LENHARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1669 PITTSFORD VICTOR RD STE 100
Mailing Address - Street 2:
Mailing Address - City:VICTOR
Mailing Address - State:NY
Mailing Address - Zip Code:14564-9618
Mailing Address - Country:US
Mailing Address - Phone:585-276-7500
Mailing Address - Fax:585-218-0520
Practice Address - Street 1:1669 PITTSFORD VICTOR RD STE 100
Practice Address - Street 2:
Practice Address - City:VICTOR
Practice Address - State:NY
Practice Address - Zip Code:14564-9618
Practice Address - Country:US
Practice Address - Phone:585-276-7500
Practice Address - Fax:585-218-0520
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY197281207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01510461Medicaid