Provider Demographics
NPI:1407235062
Name:LEHR, RAINEE
Entity Type:Individual
Prefix:
First Name:RAINEE
Middle Name:
Last Name:LEHR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10725 ESCONDIDO RD
Mailing Address - Street 2:
Mailing Address - City:ATASCADERO
Mailing Address - State:CA
Mailing Address - Zip Code:93422-2203
Mailing Address - Country:US
Mailing Address - Phone:805-400-0996
Mailing Address - Fax:
Practice Address - Street 1:8935 MORRO RD
Practice Address - Street 2:4
Practice Address - City:ATASCADERO
Practice Address - State:CA
Practice Address - Zip Code:93422-3923
Practice Address - Country:US
Practice Address - Phone:805-400-0996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-28
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor