Provider Demographics
NPI:1639165400
Name:LEHMANN, LANCE JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:LANCE
Middle Name:JOSEPH
Last Name:LEHMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3990 SHERIDAN STREET
Mailing Address - Street 2:SUITE 106-107
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021
Mailing Address - Country:US
Mailing Address - Phone:954-986-0390
Mailing Address - Fax:954-986-0091
Practice Address - Street 1:3990 SHERIDAN ST
Practice Address - Street 2:SUITE 103
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3661
Practice Address - Country:US
Practice Address - Phone:954-986-0390
Practice Address - Fax:954-986-0091
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-27
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME61582208VP0014X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14790OtherBCBS
FLF24233Medicare UPIN
FL14790DMedicare ID - Type Unspecified