MEDICARE: DR. TRAVIS EDWARD LEHMAN D.O.

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	207Q00000X	Family Medicine Physician	R1406	TX
2	207R00000X	Internal Medicine Physician	9225	SD
3	207R00000X	Internal Medicine Physician	R1406	TX

General Provider Information

NPI Number	:	1710271432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRAVIS EDWARD LEHMAN D.O.

Provider Business Mailing Address
First Line	:	4301 COLLEGE DR
Second Line	:
City	:	VERNON
State	:	TX
Zip	:	76384-3128
Country	:	US
Telephone Number	:	940-553-2890
Fax Number	:	940-553-2891

Provider Business Practice Location Address
First Line	:	4301 COLLEGE DR
Second Line	:
City	:	VERNON
State	:	TX
Zip	:	76384-3128
Country	:	US
Telephone Number	:	940-553-2890
Fax Number	:	940-553-2891

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

Provider Enumeration Date	:	05/31/2011
Last Update Date	:	11/15/2017

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