Provider Demographics
NPI:1710271432
Name:LEHMAN, TRAVIS EDWARD (DO)
Entity Type:Individual
Prefix:DR
First Name:TRAVIS
Middle Name:EDWARD
Last Name:LEHMAN
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 1:4301 COLLEGE DR
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:TX
Mailing Address - Zip Code:76384-3128
Mailing Address - Country:US
Mailing Address - Phone:940-553-2890
Mailing Address - Fax:940-553-2891
Practice Address - Street 1:4301 COLLEGE DR
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:TX
Practice Address - Zip Code:76384-3128
Practice Address - Country:US
Practice Address - Phone:940-553-2890
Practice Address - Fax:940-553-2891
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-31
Last Update Date:2017-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR1406207Q00000X, 207R00000X
SD9225207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty