=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407278948
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JODI LEHR PCPNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/17/2014
-----------------------------------------------------
Last Update Date | 04/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1103 VILLAGE SQUARE DR STE 202
-----------------------------------------------------
City | PERRYSBURG
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43551-1762
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-872-3243
-----------------------------------------------------
Fax | 419-872-3284
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2222 CHERRY ST STE 1900
-----------------------------------------------------
City | TOLEDO
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43608-2673
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-251-3878
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0200X
-----------------------------------------------------
Taxonomy Name | Pediatric Nurse Practitioner
-----------------------------------------------------
License Number | APRN.CNP.15449
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------