Provider Demographics
NPI:1538126990
Name:LEHMAN, RICHARD TROY (DO)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:TROY
Last Name:LEHMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:R.
Other - Middle Name:TROY
Other - Last Name:LEHMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:1650 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WOODWARD
Mailing Address - State:OK
Mailing Address - Zip Code:73801-3046
Mailing Address - Country:US
Mailing Address - Phone:580-571-8081
Mailing Address - Fax:877-253-5698
Practice Address - Street 1:1650 MAIN ST
Practice Address - Street 2:
Practice Address - City:WOODWARD
Practice Address - State:OK
Practice Address - Zip Code:73801-3046
Practice Address - Country:US
Practice Address - Phone:580-571-8081
Practice Address - Fax:580-571-8005
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-28
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4090207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200015630AMedicaid
OK243717603Medicare PIN
OK200015630AMedicaid
I03138Medicare UPIN