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1821050048

NPI Code Detail

MEDICARE: GERRY LEHRBURGER MD

MEDICARE: GERRY LEHRBURGER 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	207P00000X	Emergency Medicine Physician	MD11815	OR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	930079053	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	97520A002	OTHER		CHAMPUS
3	C93133	OTHER		PROVIDENCE HEALTH PLAN
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	C93133	OTHER		GROUP HEALTH
6	XPY185075	OTHER		MEDI CAL
7	023507000	OTHER	OR	BC/BS OF OREGON

General Provider Information

NPI Number	:	1821050048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GERRY LEHRBURGER MD

Provider Business Mailing Address
First Line	:	PO BOX 34935
Second Line	:	DEPARTMENT 563
City	:	SEATTLE
State	:	WA
Zip	:	98124-1935
Country	:	US
Telephone Number	:	888-633-0079
Fax Number	:

Provider Business Practice Location Address
First Line	:	280 MAPLE ST
Second Line	:
City	:	ASHLAND
State	:	OR
Zip	:	97520-1552
Country	:	US
Telephone Number	:	503-482-2441
Fax Number	:

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

Provider Enumeration Date	:	04/04/2006
Last Update Date	:	02/21/2011

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Directions to “ GERRY LEHRBURGER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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