Provider Demographics
NPI:1750531927
Name:LEHR, REBECCA L (OD)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:L
Last Name:LEHR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1851 N WEBB RD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-3413
Mailing Address - Country:US
Mailing Address - Phone:361-691-4484
Mailing Address - Fax:316-691-4408
Practice Address - Street 1:8111 E HARRY ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67207-4603
Practice Address - Country:US
Practice Address - Phone:316-685-7661
Practice Address - Fax:316-691-4408
Is Sole Proprietor?:No
Enumeration Date:2008-09-24
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS1812152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist