# DR. JEFFREY M LENGEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1588778229
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD027131E | PA | Yes |

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 07/10/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000229429 | ANTHEM BC BS | KY |
| 01 | — | 01-01-301 | UNITED HEALTH CARE | KY |
| 01 | — | 1180896 | CHA | KY |
| 05 | — | 64010671 | — | KY |
| 01 | — | 7058141 | AETNA | KY |
| 01 | — | K097010 | MEDICARE PTAN | KY |