Provider Demographics
NPI:1710161336
Name:LENHART, AARON (DO)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:
Last Name:LENHART
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1070 OLD NATIONAL PIKE
Mailing Address - Street 2:
Mailing Address - City:FREDERICKTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15333-2114
Mailing Address - Country:US
Mailing Address - Phone:724-632-6801
Mailing Address - Fax:724-632-6312
Practice Address - Street 1:1006 MAIN ST.
Practice Address - Street 2:P.O. BX 786
Practice Address - City:REPUBLIC
Practice Address - State:PA
Practice Address - Zip Code:15475-0786
Practice Address - Country:US
Practice Address - Phone:724-246-9434
Practice Address - Fax:724-246-9846
Is Sole Proprietor?:No
Enumeration Date:2007-12-18
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS015162207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001923500Medicaid
PA189884D4ZMedicare PIN