Provider Demographics
NPI:1467697060
Name:LEHMAN, MARCUS ALVAREZ (MD)
Entity Type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:ALVAREZ
Last Name:LEHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 636256
Mailing Address - Street 2:CENTRAL CREDENTIALING
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-6256
Mailing Address - Country:US
Mailing Address - Phone:513-585-5502
Mailing Address - Fax:513-585-5511
Practice Address - Street 1:2830 VICTORY PKWY
Practice Address - Street 2:LL-30
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45206-1785
Practice Address - Country:US
Practice Address - Phone:513-245-3637
Practice Address - Fax:513-475-7259
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-10
Last Update Date:2017-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA061913208D00000X
OH35.099887207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice