Healthcare Provider Details

I. General information

NPI: 1477689719
Provider Name (Legal Business Name): DAVID LEHNUS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1875 MILLIKIN RD
COLUMBUS OH
43210-2200
US

IV. Provider business mailing address

1875 MILLIKIN RD
COLUMBUS OH
43210-2200
US

V. Phone/Fax

Practice location:
  • Phone: 614-292-0113
  • Fax: 614-247-6074
Mailing address:
  • Phone: 614-292-0113
  • Fax: 614-247-6074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberCOA.065446-NP
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163WC1400X
TaxonomyCollege Health Registered Nurse
License NumberRN275146-COA1
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: