Healthcare Provider Details

I. General information

NPI: 1851392377
Provider Name (Legal Business Name): RICHARD C LEHMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date: 03/23/2006
Reactivation Date: 04/11/2006

III. Provider practice location address

333 S KIRKWOOD RD
SAINT LOUIS MO
63122-6161
US

IV. Provider business mailing address

10435 CLAYTON RD STE 120
SAINT LOUIS MO
63131-2930
US

V. Phone/Fax

Practice location:
  • Phone: 314-909-1666
  • Fax: 314-909-7406
Mailing address:
  • Phone: 314-909-1666
  • Fax: 314-909-7406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberR5B91
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: