Provider Demographics
NPI:1649493107
Name:LAHR, MARTIN BRUCE (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:BRUCE
Last Name:LAHR
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3150 LANCASTER DR NE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97305-1350
Mailing Address - Country:US
Mailing Address - Phone:503-986-4982
Mailing Address - Fax:503-373-7202
Practice Address - Street 1:3150 LANCASTER DR NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97305-1350
Practice Address - Country:US
Practice Address - Phone:503-986-4982
Practice Address - Fax:503-373-7202
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR12540208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics