Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 01082417A | IN |
NPI | 1063486306 |
---|---|
Provider Name | Lenora M Lehwald |
First Address | Evansville, IN 47714-0550 |
Second Address | Evansville, IN 47714-0550 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2006 |
Last Update Date | 25/01/2021 |