Healthcare Provider Details

I. General information

NPI: 1154853786
Provider Name (Legal Business Name): RACHEL LOUISE LENHART M.D., PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2017
Last Update Date: 12/18/2024
Certification Date: 12/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9200 W WISCONSIN AVE
MILWAUKEE WI
53226-3522
US

IV. Provider business mailing address

9200 W WISCONSIN AVE
MILWAUKEE WI
53226-3522
US

V. Phone/Fax

Practice location:
  • Phone: 414-805-7488
  • Fax:
Mailing address:
  • Phone: 414-805-7400
  • Fax: 414-805-7388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License Number69902
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: