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NPI Code Detail

MEDICARE: DR. DAVID BRUCE LEHMAN M.D.

MEDICARE: DR. DAVID BRUCE LEHMAN 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
1207Q00000XFamily Medicine Physician33793MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14115623OTHERMNAETNA
21000841OTHERMNPREFERRED ONE
3107304OTHERMNUCARE
4HP13805OTHERMNHEALTHPARTNERS
508F55LEOTHERMNBCBS OF MN
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
721533OTHERMNAMERICA'S PPO
86603852OTHERMNMEDICA UC
90120319OTHERMNMEDICA

General Provider Information

NPI Number : 1912962184
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID BRUCE LEHMAN M.D.
Provider Business Mailing Address
First Line : 4000 CENTRAL AVE NE
Second Line :
City : COLUMBIA HEIGHTS
State : MN
Zip : 55421-2968
Country : US
Telephone Number : 763-572-5700
Fax Number : 763-782-8100
Provider Business Practice Location Address
First Line : 4000 CENTRAL AVE NE
Second Line :
City : COLUMBIA HEIGHTS
State : MN
Zip : 55421-2968
Country : US
Telephone Number : 763-572-5700
Fax Number : 763-782-8100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 04/11/2012

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