Provider Demographics
NPI:1073676789
Name:LEHR, CAROL L
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:L
Last Name:LEHR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6788 ROUTE 31 E
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NY
Mailing Address - Zip Code:14513-9232
Mailing Address - Country:US
Mailing Address - Phone:315-331-5084
Mailing Address - Fax:
Practice Address - Street 1:6788 ROUTE 31 E
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NY
Practice Address - Zip Code:14513-9232
Practice Address - Country:US
Practice Address - Phone:315-331-5084
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040485183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist