Healthcare Provider Details

I. General information

NPI: 1477536258
Provider Name (Legal Business Name): THOMAS S. LEHNER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2005
Last Update Date: 10/25/2023
Certification Date: 10/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 LAKESIDE AVE E SUITE 1000
CLEVELAND OH
44114-1158
US

IV. Provider business mailing address

2701 STAR LN
WADSWORTH OH
44281-9546
US

V. Phone/Fax

Practice location:
  • Phone: 216-420-9403
  • Fax: 216-420-9354
Mailing address:
  • Phone: 330-336-7100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35049143
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: