MEDICARE: MR. PAUL LYNN LEHR M.A. CCC-SLP

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	235Z00000X	Speech-Language Pathologist	1704	KS
2	235Z00000X	Speech-Language Pathologist	114074	MO

General Provider Information

NPI Number	:	1356341143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PAUL LYNN LEHR M.A. CCC-SLP

Provider Business Mailing Address
First Line	:	8503 NE 110TH TER
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64157-1139
Country	:	US
Telephone Number	:	816-407-0700
Fax Number	:	816-407-0700

Provider Business Practice Location Address
First Line	:	8503 NE 110TH TER
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64157-1139
Country	:	US
Telephone Number	:	816-407-0700
Fax Number	:	816-407-0700

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

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	07/08/2007

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