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General NPI Number Information
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NPI Number | 1528674918
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Entity Type | Organization
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Legal Business Name | DR. RICHARD LEHRKE DDS SC
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Dates
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Enumeration Date | 09/21/2020
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Last Update Date | 09/21/2020
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Provider Practice Location Address
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Address Line | 1025 KING ST
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City | LA CROSSE
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State | WI
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Zip | 54601-4119
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Country | US
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Telephone | 608-784-7530
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Fax |
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Provider Business Mailing Address
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Address Line | 1025 KING ST
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City | LA CROSSE
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State | WI
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Zip | 54601-4119
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Country | US
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Telephone | 608-784-7530
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Fax |
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | DR. RICHARD LEHRKE
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Credential | DDS SC
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Telephone | 608-784-7530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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