Provider Demographics
NPI:1720718141
Name:LAHM, DEREK W (MD)
Entity Type:Individual
Prefix:DR
First Name:DEREK
Middle Name:W
Last Name:LAHM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:985540 NEBRASKA MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-3378
Mailing Address - Country:US
Mailing Address - Phone:402-559-1859
Mailing Address - Fax:
Practice Address - Street 1:985540 NEBRASKA MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-3378
Practice Address - Country:US
Practice Address - Phone:402-559-1859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-16
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE9273207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology