Provider Demographics
NPI:1609119668
Name:LEHMAN, PATRICK J (MD)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:J
Last Name:LEHMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9000 W. WISCONSIN AVENUE
Mailing Address - Street 2:MS 958
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-4875
Mailing Address - Country:US
Mailing Address - Phone:414-266-7615
Mailing Address - Fax:414-266-6238
Practice Address - Street 1:12635 W BLUEMOUND RD
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-8004
Practice Address - Country:US
Practice Address - Phone:414-258-0606
Practice Address - Fax:414-258-1953
Is Sole Proprietor?:No
Enumeration Date:2013-03-28
Last Update Date:2022-06-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI63228-20208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1609119668Medicaid