Provider Demographics
NPI:1528043296
Name:LEHREN, RENEE L (CNP)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:L
Last Name:LEHREN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7640 SYLVANIA AVE
Mailing Address - Street 2:SUITE I
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-9729
Mailing Address - Country:US
Mailing Address - Phone:419-517-4000
Mailing Address - Fax:419-517-4001
Practice Address - Street 1:7640 SYLVANIA AVE
Practice Address - Street 2:SUITE I
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-9729
Practice Address - Country:US
Practice Address - Phone:419-517-4000
Practice Address - Fax:419-517-4001
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP08006363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2624299Medicaid
2589331OtherUNITED HEALTHCARE
OH000000380261OtherANTHEM BC BS
LRNP19372Medicare PIN
OH000000380261OtherANTHEM BC BS