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NPI Code Detail

MEDICARE: DR. JOHN MARK LEHMAN DO

MEDICARE:  DR. JOHN MARK LEHMAN  DO
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
1207Q00000XFamily Medicine Physician21758WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
121758021OTHERWISTATE OF WISCONSIN LICENSING
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
321758021OTHERWILICENSE

General Provider Information

NPI Number : 1730178559
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN MARK LEHMAN DO
Provider Business Mailing Address
First Line : 800 COMPASSION WAY
Second Line :
City : DODGEVILLE
State : WI
Zip : 53533-1956
Country : US
Telephone Number : 608-930-8000
Fax Number : 608-930-7251
Provider Business Practice Location Address
First Line : 800 COMPASSION WAY
Second Line :
City : DODGEVILLE
State : WI
Zip : 53533-1956
Country : US
Telephone Number : 608-930-8000
Fax Number : 608-930-7251
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2005
Last Update Date : 02/11/2014

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