Healthcare Provider Details

I. General information

NPI: 1619955424
Provider Name (Legal Business Name): JAMES G LENHART M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1202 MARTIN LUTHER KING JR WAY
TACOMA WA
98405-3926
US

IV. Provider business mailing address

1019 PACIFIC AVE STE. 300
TACOMA WA
98402-4443
US

V. Phone/Fax

Practice location:
  • Phone: 253-441-4742
  • Fax: 253-442-8790
Mailing address:
  • Phone: 253-597-4550
  • Fax: 253-597-4556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number46505
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number10440
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number46505
License Number StateNV
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD00017513
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: