Provider Demographics
NPI:1174583694
Name:ROBERT D. LEHMAN, M.D., P.C
Entity type:Organization
Organization Name:ROBERT D. LEHMAN, M.D., P.C
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:LEHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-473-3200
Mailing Address - Street 1:200 GRAYSON RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-3745
Mailing Address - Country:US
Mailing Address - Phone:757-473-3200
Mailing Address - Fax:757-473-0459
Practice Address - Street 1:200 GRAYSON RD
Practice Address - Street 2:SUITE 101
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-3745
Practice Address - Country:US
Practice Address - Phone:757-473-3200
Practice Address - Fax:757-473-0459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-27
Last Update Date:2011-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101041118208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006740294Medicaid
VA066168OtherBLUE CROSS BLUE SHIELD
VA0101041118OtherSTATE ID
VA6000103074OtherCIGNA ID
VA13027OtherOPTIMA HEALTH
VA231543OtherMAMSI
VA006740294Medicaid
VAF88188Medicare UPIN