Individual
GERRY LEHRBURGER
Active
Individual
GERRY LEHRBURGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD11815
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023507000
BC/BS OF OREGON
OR
05
—
281410
—
OR
01
—
930079053
RAILROAD MEDICARE
—
01
—
97520A002
CHAMPUS
—
01
—
C93133
PROVIDENCE HEALTH PLAN
—
01
—
XPY185075
MEDI CAL
—
Enumeration date
04/04/2006
Last updated
02/21/2011
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