Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | DS017478L | PA |
NPI | 1023069549 |
---|---|
Provider Name | Dr. John F Lehrian |
First Address | Erie, PA 16507-1452 |
Second Address | Erie, PA 16507-1452 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0510850 | (05) | PA |
T28649 | (02) | PW |