Provider Demographics
NPI:1760479547
Name:LENFESTEY, ROBERT J (DPM)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:J
Last Name:LENFESTEY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 PARKWAY OFFICE COURT
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7429
Mailing Address - Country:US
Mailing Address - Phone:919-481-3338
Mailing Address - Fax:919-467-2436
Practice Address - Street 1:103 PARKWAY OFFICE COURT
Practice Address - Street 2:SUITE 100
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7429
Practice Address - Country:US
Practice Address - Phone:919-481-3338
Practice Address - Fax:919-467-2436
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC209213EP1101X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC08127OtherBCBS
NC8908127Medicaid
NC77673OtherMEDCOST
NC4551564OtherAETNA
NC480016437OtherRAILROAD MEDICARE
NC2404087OtherCIGNA
NC2750108OtherUNITED HEALTHCARE
NC2750108OtherUNITED HEALTHCARE
NCT64068Medicare UPIN