Provider Demographics
NPI:1053382721
Name:LEHNER, ROBERT H JR (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:H
Last Name:LEHNER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1677
Mailing Address - Street 2:
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53401-1677
Mailing Address - Country:US
Mailing Address - Phone:262-637-9615
Mailing Address - Fax:262-637-4437
Practice Address - Street 1:3805A SPRING ST
Practice Address - Street 2:SUITE 111
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53405-1600
Practice Address - Country:US
Practice Address - Phone:262-637-9615
Practice Address - Fax:262-637-4437
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-30
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI24399207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI30469700Medicaid
WI30469700Medicaid