MEDICARE: DR. ROBERT DAVID LEHMAN JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	MD025268E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	53454	OTHER	PA	AETNA
2	0053269000	OTHER	PA	INDEPENDENCE BLUE CROSS

General Provider Information

NPI Number	:	1235179391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT DAVID LEHMAN JR. M.D.

Provider Business Mailing Address
First Line	:	31 S EAGLE RD
Second Line	:	SUITE 107
City	:	HAVERTOWN
State	:	PA
Zip	:	19083-3340
Country	:	US
Telephone Number	:	610-446-3006
Fax Number	:

Provider Business Practice Location Address
First Line	:	31 S EAGLE RD
Second Line	:	SUITE 107
City	:	HAVERTOWN
State	:	PA
Zip	:	19083-3340
Country	:	US
Telephone Number	:	610-446-3006
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	07/08/2007

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