Healthcare Provider Details

I. General information

NPI: 1154362556
Provider Name (Legal Business Name): FRANK WILLY LEHNINGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 07/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

USA MEDDAC BAVARIA CMR 411 BLDG 700
APO AE
09112
US

IV. Provider business mailing address

USA MEDDAC BAVARIA CMR 411 BLDG 700
APO AE
09112
US

V. Phone/Fax

Practice location:
  • Phone: 314-590-3986
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberME72134
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License NumberME72134
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME72134
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: