Provider Demographics
NPI:1508465048
Name:LEHR, LISA J (APRN)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:J
Last Name:LEHR
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6336 JOHN J PERSHING DR FL LOZIER2
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68110-1100
Mailing Address - Country:US
Mailing Address - Phone:420-935-8100
Mailing Address - Fax:
Practice Address - Street 1:6336 JOHN J PERSHING DR FL LOZIER2
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68110-1100
Practice Address - Country:US
Practice Address - Phone:420-935-8100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-24
Last Update Date:2020-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE113372363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE113372Medicaid