Basic Information
Provider Information
NPI: 1275844532
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LEHEW
FirstName: COURTNEY
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D,
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3015 N BALLAS RD
Address2:  
City: SAINT LOUIS
State: MO
PostalCode: 631312329
CountryCode: US
TelephoneNumber: 3149965000
FaxNumber:  
Practice Location
Address1: 525 E 68TH ST RM M130
Address2:  
City: NEW YORK
State: NY
PostalCode: 100654870
CountryCode: US
TelephoneNumber: 2127460780
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/01/2010
LastUpdateDate: 03/17/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X287485NYN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000X2014010405MOY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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