Provider Demographics
NPI:1548584816
Name:LEONARD K. LEHR MD INC.
Entity Type:Organization
Organization Name:LEONARD K. LEHR MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:K
Authorized Official - Last Name:LEHR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-423-2176
Mailing Address - Street 1:7601 HOSPITAL DR
Mailing Address - Street 2:#202
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-5408
Mailing Address - Country:US
Mailing Address - Phone:916-423-2176
Mailing Address - Fax:916-689-1546
Practice Address - Street 1:7601 HOSPITAL DR
Practice Address - Street 2:#202
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-5408
Practice Address - Country:US
Practice Address - Phone:916-423-2176
Practice Address - Fax:916-689-1546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-16
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG25608207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1588639041Medicaid
CA00G256080Medicare PIN