Individual
DR. CORNELIUS CHARLES LEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
959 HIGHWAY 80 EAST, CLINTON, MS 39056
(601) 925-9100
(601) 924-1317
Mailing address
959 HIGHWAY 80 EAST, CLINTON, MS 39056
(601) 925-9100
(601) 924-1317
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
249389
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660214
—
MS
01
—
883294
UNITED CONCORDIA
—
Enumeration date
09/07/2006
Last updated
07/08/2007
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