Healthcare Provider Details

I. General information

NPI: 1154302040
Provider Name (Legal Business Name): GREGORY STEVEN LENCHNER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2005
Last Update Date: 04/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 CITY LINE AVE WB113
WYNNEWOOD PA
19096-3902
US

IV. Provider business mailing address

1001 CITY LINE AVE WB113
WYNNEWOOD PA
19096-3902
US

V. Phone/Fax

Practice location:
  • Phone: 610-896-0280
  • Fax: 610-896-0286
Mailing address:
  • Phone: 610-896-0280
  • Fax: 610-896-0286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberMD018715E
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberMD018715E
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberMD018715E
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberMD018715E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: