Provider Demographics
NPI:1205852548
Name:HARRY A LEHMAN III MD
Entity type:Organization
Organization Name:HARRY A LEHMAN III MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEHMAN
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:302-629-5050
Mailing Address - Street 1:646 N DUAL HWY
Mailing Address - Street 2:SEAFORD VILLAGE
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-1756
Mailing Address - Country:US
Mailing Address - Phone:302-628-2689
Mailing Address - Fax:302-628-3791
Practice Address - Street 1:411 N SHIPLEY ST
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-2317
Practice Address - Country:US
Practice Address - Phone:302-629-5050
Practice Address - Fax:302-629-5053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1002720208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000045101Medicaid
DEF04119Medicare UPIN