Basic Information
Provider Information
NPI: 1053380139
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LEHMAN
FirstName: THOMAS
MiddleName: P
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 920 STANTON L YOUNG BLVD
Address2: ROOM WP1380
City: OKLAHOMA CITY
State: OK
PostalCode: 73104
CountryCode: US
TelephoneNumber: 4052714426
FaxNumber: 4052713461
Practice Location
Address1: 825 NE 10TH STREET
Address2: SUITE 1300
City: OKLAHOMA CITY
State: OK
PostalCode: 73104
CountryCode: US
TelephoneNumber: 4052712663
FaxNumber: 4052716762
Other Information
ProviderEnumerationDate: 03/14/2006
LastUpdateDate: 09/23/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X20240OKN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207XS0106X20240OKY Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery

No ID Information.


Home