MEDICARE: ANDREW S LENHARDT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	215344	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639285562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW S LENHARDT M.D.

Provider Business Mailing Address
First Line	:	6 DEXTER LN
Second Line	:
City	:	WENHAM
State	:	MA
Zip	:	01984-1833
Country	:	US
Telephone Number	:	978-468-7346
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 WILLOW ST
Second Line	:
City	:	SOUTH HAMILTON
State	:	MA
Zip	:	01982-2255
Country	:	US
Telephone Number	:	978-468-7346
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	11/16/2010

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