| Gary G Lehman Md Pa | |
|
2881 S Bumby Ave Orlando FL 32806-8704 | |
| (407) 894-0005 | |
| (407) 894-7759 |
| Full Name | Gary G Lehman Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2881 S Bumby Ave, Orlando, Florida |
| Authorized Official Name and Position | Gary Grayson Lehman (PRESIDENT) |
| Authorized Official Contact | 4078940005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary G Lehman Md Pa 2881 S Bumby Ave Orlando FL 32806-8704 Ph: (407) 894-0005 | Gary G Lehman Md Pa 2881 S Bumby Ave Orlando FL 32806-8704 Ph: (407) 894-0005 |
| NPI Number | 1750410817 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 07/10/2008 |
| Medicare PECOS PAC ID | 3375511462 |
|---|---|
| Medicare Enrollment ID | O20040916001244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750410817 | NPI | - | NPPES |
| 266015600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | ME41509 (Florida) | Primary |
| Provider Name | Elizabeth L Laverty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578581880 PECOS PAC ID: 3779551866 Enrollment ID: I20040916001212 |
| Provider Name | Gary Grayson Lehman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912969833 PECOS PAC ID: 8729056817 Enrollment ID: I20100910000821 |
| Provider Name | Lori Pape |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487687497 PECOS PAC ID: 1052591195 Enrollment ID: I20110208000113 |
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