Individual
CHARLES WOOLLEY LEHNARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7975 LAKE UNDERHILL RD STE 200, ORLANDO, FL 32822-8204
(407) 303-6830
Mailing address
7975 LAKE UNDERHILL RD STE 200, ORLANDO, FL 32822-8204
(407) 303-6830
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
OS20618
FL
207Q00000X
Family Medicine Physician
262156
MA
207Q00000X
Family Medicine Physician
Primary
OS20618
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12320823
CAQH
—
Enumeration date
05/19/2008
Last updated
09/06/2024
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