Provider Demographics
NPI:1396342093
Name:LEHBERGER, ERIK A
Entity type:Individual
Prefix:
First Name:ERIK
Middle Name:A
Last Name:LEHBERGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16839 MCVAY RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICKTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:43019-9789
Mailing Address - Country:US
Mailing Address - Phone:303-946-0691
Mailing Address - Fax:
Practice Address - Street 1:5589 PIERMONT CT
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-7145
Practice Address - Country:US
Practice Address - Phone:303-946-0691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHTN321812376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker