MEDICARE: DR. JOHN J LEHMAN JR. MD

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	207RC0000X	Cardiovascular Disease Physician	2003014103	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568480374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN J LEHMAN JR. MD

Provider Business Mailing Address
First Line	:	4600 MEMORIAL DR STE W3
Second Line	:
City	:	BELLEVILLE
State	:	IL
Zip	:	62226-5359
Country	:	US
Telephone Number	:	618-233-3066
Fax Number	:

Provider Business Practice Location Address
First Line	:	4600 MEMORIAL DR STE W3
Second Line	:
City	:	BELLEVILLE
State	:	IL
Zip	:	62226-5359
Country	:	US
Telephone Number	:	618-233-3066
Fax Number	:

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

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	06/07/2023

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