Provider Demographics
NPI:1447311923
Name:HARRIS, A. LEHMAN
Entity type:Individual
Prefix:
First Name:A.
Middle Name:LEHMAN
Last Name:HARRIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1230 PEACHTREE ST NE
Mailing Address - Street 2:SUITE 2475
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-3574
Mailing Address - Country:US
Mailing Address - Phone:404-607-6960
Mailing Address - Fax:404-607-6964
Practice Address - Street 1:1230 PEACHTREE ST NE
Practice Address - Street 2:SUITE 2475
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-3574
Practice Address - Country:US
Practice Address - Phone:404-607-6960
Practice Address - Fax:404-607-6964
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN 0134281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice