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General NPI Number Information
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NPI Number | 1871759209
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Entity Type | Organization
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Legal Business Name | HENRY LAHMEYER, MD, SC
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Dates
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Enumeration Date | 08/05/2008
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Last Update Date | 08/05/2008
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Provider Practice Location Address
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Address Line | 465 CENTRAL AVE SUITE 201
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City | NORTHFIELD
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State | IL
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Zip | 60093-3045
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Country | US
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Telephone | 847-446-3531
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Fax | 847-446-3573
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Provider Business Mailing Address
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Address Line | 465 CENTRAL AVE SUITE 201
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City | NORTHFIELD
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State | IL
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Zip | 60093-3045
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Country | US
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Telephone | 847-446-3531
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Fax | 847-446-3573
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HENRY W LAHMEYER
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Credential | M.D. S.C.
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Telephone | 847-446-3531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 036050377
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License Number State | IL
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