Provider Demographics
NPI:1710176508
Name:LEHR, PRESTON J (PA-C)
Entity Type:Individual
Prefix:MR
First Name:PRESTON
Middle Name:J
Last Name:LEHR
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:21600 HIGHWAY 99
Mailing Address - Street 2:SUITE 280
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-8012
Mailing Address - Country:US
Mailing Address - Phone:425-774-2616
Mailing Address - Fax:425-774-2660
Practice Address - Street 1:21600 HIGHWAY 99
Practice Address - Street 2:SUITE 280
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-8012
Practice Address - Country:US
Practice Address - Phone:425-774-2616
Practice Address - Fax:425-774-2660
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-17
Last Update Date:2012-11-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAPA10005319363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant