Provider Demographics
NPI:1962407049
Name:LEHRER, DEBRA L (MD)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:L
Last Name:LEHRER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 E STATE ST
Mailing Address - Street 2:SUITE 250
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601
Mailing Address - Country:US
Mailing Address - Phone:330-823-4000
Mailing Address - Fax:330-829-2919
Practice Address - Street 1:270 E STATE ST
Practice Address - Street 2:SUITE 250
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601
Practice Address - Country:US
Practice Address - Phone:330-823-4000
Practice Address - Fax:330-829-2919
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA35-06-5215-L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0932012Medicaid
OHLE0742881Medicare ID - Type Unspecified
F29010Medicare UPIN