Healthcare Provider Details

I. General information

NPI: 1356346845
Provider Name (Legal Business Name): LEHMAN K. PREIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 01/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 HOUMA BLVD FL 2
METAIRIE LA
70006-2970
US

IV. Provider business mailing address

4200 HOUMA BLVD FL 2
METAIRIE LA
70006-2970
US

V. Phone/Fax

Practice location:
  • Phone: 504-454-4120
  • Fax: 504-454-4192
Mailing address:
  • Phone: 504-454-4102
  • Fax: 504-454-4192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number013161
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: