Organization
COMPLETE MEDICAL FAMILY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE JACK LEHNER MD (OWNER)
(631) 656-9200
Entity
Organization
Contact information
Practice address
735 MIDDLE COUNTRY ROAD, SAINT JAMES, NY 11780-3211
(631) 656-9200
Mailing address
735 MIDDLE COUNTRY ROAD, SAINT JAMES, NY 11780-3211
(631) 559-6869
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
242516
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03057045
—
NY
Enumeration date
04/13/2012
Last updated
09/18/2012
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