Provider Demographics
NPI:1134210107
Name:LENHART, LAWRENCE DONALD (MD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:DONALD
Last Name:LENHART
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:39 N SAN MATEO DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401
Mailing Address - Country:US
Mailing Address - Phone:650-342-6687
Mailing Address - Fax:650-342-8166
Practice Address - Street 1:39 N SAN MATEO DR
Practice Address - Street 2:SUITE 1
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401
Practice Address - Country:US
Practice Address - Phone:650-342-6687
Practice Address - Fax:650-342-8166
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC26101207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
A33044Medicare UPIN