Provider Demographics
NPI:1356390322
Name:LEHR, CARRIE WOODS (MD)
Entity type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:WOODS
Last Name:LEHR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10787 NALL AVE
Mailing Address - Street 2:SUITE 310
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1375
Mailing Address - Country:US
Mailing Address - Phone:913-945-6900
Mailing Address - Fax:913-945-6970
Practice Address - Street 1:10787 NALL AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1375
Practice Address - Country:US
Practice Address - Phone:913-945-6900
Practice Address - Fax:913-945-6970
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO105320207R00000X
KS04-24162207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO20743038OtherBLUECROSS BLUESHIELD OF KANSAS CITY
KS4671690OtherAETNA
20743028OtherBLUE CROSS PROVIDER NUMBE
KS20743048OtherBCBS
KS20743048OtherBCBS
MOW295232Medicare PIN
KSJ61A00046Medicare PIN