Provider Demographics
NPI:1649371295
Name:LEHR, CRISTIE LYNN (MD)
Entity type:Individual
Prefix:
First Name:CRISTIE
Middle Name:LYNN
Last Name:LEHR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CRISTIE
Other - Middle Name:LYNN
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:7525 NW 129TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73142-2568
Mailing Address - Country:US
Mailing Address - Phone:405-923-1296
Mailing Address - Fax:405-418-0118
Practice Address - Street 1:2448 E 81ST ST
Practice Address - Street 2:SUITE 1650
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-4250
Practice Address - Country:US
Practice Address - Phone:918-392-0720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK193472085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKP00652700OtherRR MCR
OKP00689150OtherRR MCR
OK200053970AMedicaid
OKP00264736OtherRR MCR
OK245531801Medicare PIN
OKOK402283Medicare PIN
OKP00264736OtherRR MCR
OK245523601Medicare PIN
OK244531906Medicare PIN
OKP00689150OtherRR MCR
OK244514601Medicare PIN
OK245527601Medicare PIN
OK245531803Medicare PIN