Provider Demographics
NPI:1184601429
Name:LEHMAN, BENJAMIN GRABER (DPM)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:GRABER
Last Name:LEHMAN
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 1:145 S NAPPANEE ST
Mailing Address - Street 2:
Mailing Address - City:ELKHART
Mailing Address - State:IN
Mailing Address - Zip Code:46514-1967
Mailing Address - Country:US
Mailing Address - Phone:574-522-3668
Mailing Address - Fax:574-522-9668
Practice Address - Street 1:145 S NAPPANEE ST
Practice Address - Street 2:
Practice Address - City:ELKHART
Practice Address - State:IN
Practice Address - Zip Code:46514-1967
Practice Address - Country:US
Practice Address - Phone:574-522-3668
Practice Address - Fax:574-522-9668
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN07000989A213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN07000989AOtherSTATE LICENSE NUMBER
IN219520Medicare ID - Type UnspecifiedADMINISTAR
INU53470Medicare UPIN