Provider Demographics
NPI:1306892203
Name:LEHMANN, SHAUN D (MD)
Entity type:Individual
Prefix:DR
First Name:SHAUN
Middle Name:D
Last Name:LEHMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1567
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-1567
Mailing Address - Country:US
Mailing Address - Phone:281-357-5454
Mailing Address - Fax:281-357-5499
Practice Address - Street 1:25216 GROGANS PARK DR
Practice Address - Street 2:SUITE A
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-2175
Practice Address - Country:US
Practice Address - Phone:281-357-5454
Practice Address - Fax:281-357-5499
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK71822081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8H4600OtherBLUE CROSS BLUE SHIELD
TX146753202Medicaid
TX460517474OtherTAX IDENTIFICATION NUMBER
TX460517474OtherTAX IDENTIFICATION NUMBER
TXH39253Medicare UPIN