Individual
LEHMAN W GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4745 E BITTERSWEET WAY, SPRINGFIELD, MO 65809-2403
(000) 000-0000
Mailing address
4745 E BITTERSWEET WAY, SPRINGFIELD, MO 65809-2403
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R3P72
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107088
BLUE CROSS/BLUE SHIELD
—
05
—
203005616
—
MO
Enumeration date
06/04/2006
Last updated
03/17/2025
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