Provider Demographics
NPI:1770542359
Name:LEHMANN, LESLIE ELAINE (MD)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:ELAINE
Last Name:LEHMANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:44 BINNEY ST
Mailing Address - Street 2:DANA FARBER CANCER INSTITUTE 360
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-632-4923
Mailing Address - Fax:617-632-2095
Practice Address - Street 1:44 BINNEY ST
Practice Address - Street 2:DANA FARBER CANCER INSTITUTE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-632-4923
Practice Address - Fax:617-632-2095
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA777492080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2439091OtherCIGNA
30069OtherFALLON COMM HEALTH PLAN
MA3135039Medicaid
077749OtherTUFTS
MAJ14099OtherBLUE CROSS BLUE SHIELD
2929172OtherAETNA US HEALTHCARE
F26846DFOtherHPHC
000000029006OtherBMC HEALTHNET
077749OtherTUFTS
2929172OtherAETNA US HEALTHCARE