Provider Demographics
NPI:1932185501
Name:LEHMAN, NELSON R (MD)
Entity Type:Individual
Prefix:
First Name:NELSON
Middle Name:R
Last Name:LEHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1159 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:PA
Mailing Address - Zip Code:17547-1628
Mailing Address - Country:US
Mailing Address - Phone:717-426-1131
Mailing Address - Fax:717-426-2068
Practice Address - Street 1:1159 RIVER RD
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:PA
Practice Address - Zip Code:17547-1628
Practice Address - Country:US
Practice Address - Phone:717-426-1131
Practice Address - Fax:717-426-2068
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD032301E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA40358 S1QKOtherGEISINGER HEALTH PLAN
PAB36630OtherHEALTH ASSURANCE
PAP002637OtherGATEWAY HEALTH PLAN
PA0006953480002Medicaid
PA080118686OtherRAILROAD MEDICARE
PA5041469OtherAETNA NON-HMO
PA535905OtherAETNA HMO
PA01555001OtherCAPITAL BLUE CROSS
PA105596OtherHIGHMARK BLUE SHIELD
PAB36630OtherHEALTH ASSURANCE