Provider Demographics
NPI:1932389434
Name:ELTON W LEHEW MD
Entity Type:Organization
Organization Name:ELTON W LEHEW MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELTON
Authorized Official - Middle Name:
Authorized Official - Last Name:LEHEW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-262-2058
Mailing Address - Street 1:1019 CROSSPOINTE DR
Mailing Address - Street 2:#3
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-0930
Mailing Address - Country:US
Mailing Address - Phone:239-262-2058
Mailing Address - Fax:
Practice Address - Street 1:1019 CROSSPOINTE DR
Practice Address - Street 2:#3
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-0930
Practice Address - Country:US
Practice Address - Phone:239-262-2058
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-13
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00221342084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK1235OtherMEDICARE GROUP NUMBER