Provider Demographics
NPI:1689679003
Name:LEHNER, ANTHONY DEE (MD)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:DEE
Last Name:LEHNER
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 1:6906 WESTLAKE AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-3542
Mailing Address - Country:US
Mailing Address - Phone:214-320-1001
Mailing Address - Fax:
Practice Address - Street 1:6906 WESTLAKE AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75214-3542
Practice Address - Country:US
Practice Address - Phone:214-320-1001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-14
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF6278208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC18299Medicare UPIN