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NPI Code Detail

MEDICARE: DR. DAVID JOHN LEHMILLER M.D.

MEDICARE: DR. DAVID JOHN LEHMILLER 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
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianD9537TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18OP031OTHERTXBLUECROSS INDIVIDUAL
280P031OTHERTXBLUECROSS ORANGE INDIVIDU

General Provider Information

NPI Number : 1558452136
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID JOHN LEHMILLER M.D.
Provider Business Mailing Address
First Line : 3530 FANNIN ST
Second Line :
City : BEAUMONT
State : TX
Zip : 77701-3805
Country : US
Telephone Number : 409-842-8222
Fax Number : 409-842-8244
Provider Business Practice Location Address
First Line : 3530 FANNIN ST
Second Line :
City : BEAUMONT
State : TX
Zip : 77701-3805
Country : US
Telephone Number : 409-842-8222
Fax Number : 409-842-8244
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 07/09/2007

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Directions to “ DR. DAVID JOHN LEHMILLER M.D.” Practice Location

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