Provider Demographics
NPI:1083742407
Name:R. TROY LEHMAN DO PC
Entity type:Organization
Organization Name:R. TROY LEHMAN DO PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:R.
Authorized Official - Middle Name:TROY
Authorized Official - Last Name:LEHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:580-571-8081
Mailing Address - Street 1:1000 15TH ST
Mailing Address - Street 2:
Mailing Address - City:WOODWARD
Mailing Address - State:OK
Mailing Address - Zip Code:73801-3008
Mailing Address - Country:US
Mailing Address - Phone:580-571-8081
Mailing Address - Fax:580-571-8005
Practice Address - Street 1:1000 15TH ST
Practice Address - Street 2:
Practice Address - City:WOODWARD
Practice Address - State:OK
Practice Address - Zip Code:73801-3008
Practice Address - Country:US
Practice Address - Phone:580-571-8081
Practice Address - Fax:877-253-5698
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:R. TROY LEHMAN, D.O., PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-28
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4090207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
300522313Medicare PIN