Healthcare Provider Details

I. General information

NPI: 1639285562
Provider Name (Legal Business Name): ANDREW S LENHARDT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 11/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 WILLOW ST
SOUTH HAMILTON MA
01982-2255
US

IV. Provider business mailing address

6 DEXTER LN
WENHAM MA
01984-1833
US

V. Phone/Fax

Practice location:
  • Phone: 978-468-7346
  • Fax:
Mailing address:
  • Phone: 978-468-7346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number215344
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: