Provider Demographics
NPI:1285721266
Name:LEHRMAN, JEFFREY D (DPM)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:D
Last Name:LEHRMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 S SHIELDS ST STE F
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-1833
Mailing Address - Country:US
Mailing Address - Phone:970-493-4660
Mailing Address - Fax:970-493-6710
Practice Address - Street 1:2001 S SHIELDS ST STE F
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-1833
Practice Address - Country:US
Practice Address - Phone:970-493-4660
Practice Address - Fax:970-493-6710
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-09
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC004847L213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2297844000OtherKEYSTONE HMO PIN
PA2317760000OtherKEYSTONE GROUP
PA1643217OtherBLUE SHIELD GROUP
PA30024012OtherKEYSTONE MERCY HEALTH PIN
PA2317760000OtherAMERIHEALTH GROUP
PA1620279OtherBLUE SHIELD PIN
PA10122119900001Medicaid
PA036474 MEDICARE GROUMedicare PIN
PAP00110977Medicare PIN
PA077699NZ7Medicare PIN
PAU99371Medicare UPIN
PACJ5722/RRMEDICARE GRMedicare PIN
PA2317760000OtherKEYSTONE GROUP