Healthcare Provider Details

I. General information

NPI: 1003418450
Provider Name (Legal Business Name): LEHAN DRUGS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2020
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 17TH AVE
MONROE WI
53566-2050
US

IV. Provider business mailing address

1407 S 4TH ST
DEKALB IL
60115-4651
US

V. Phone/Fax

Practice location:
  • Phone: 815-766-3461
  • Fax:
Mailing address:
  • Phone: 815-758-0911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DANIEL BRETT STOUTE
Title or Position: CHIEF COMPLIANCE OFFICER
Credential:
Phone: 337-500-1977