Provider Demographics
NPI:1942269642
Name:LEHNERT, BRUCE A (DPM)
Entity Type:Individual
Prefix:
First Name:BRUCE
Middle Name:A
Last Name:LEHNERT
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 ARGUELLO STREET
Mailing Address - Street 2:SUITE 100
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063
Mailing Address - Country:US
Mailing Address - Phone:650-995-1235
Mailing Address - Fax:408-995-1202
Practice Address - Street 1:500 ARGUELLO STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063
Practice Address - Country:US
Practice Address - Phone:650-851-4900
Practice Address - Fax:650-995-1218
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAE3919213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000E39190Medicare ID - Type Unspecified
U46406Medicare UPIN
6213200001Medicare NSC