Provider Demographics
NPI:1740211226
Name:INTEGRATIVE PHYSICIANS PC
Entity type:Organization
Organization Name:INTEGRATIVE PHYSICIANS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:E
Authorized Official - Last Name:LEHR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-403-8600
Mailing Address - Street 1:3001 ACADEMY RD
Mailing Address - Street 2:#200
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-2660
Mailing Address - Country:US
Mailing Address - Phone:919-403-8600
Mailing Address - Fax:919-489-8585
Practice Address - Street 1:3001 ACADEMY RD
Practice Address - Street 2:#200
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-2660
Practice Address - Country:US
Practice Address - Phone:919-403-8600
Practice Address - Fax:919-489-8585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC790134HMedicaid
NC0134HOtherBCBS
NC0134HOtherBCBS