Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | G75188 | CA |
Y | 208600000X | Surgeon | G75188 | CA |
NPI | 1013913698 |
---|---|
Provider Name | Dr. Alex Lechtman |
First Address | Visalia, CA 93291-8222 |
Second Address | Visalia, CA 93291-8222 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2005 |
Last Update Date | 03/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F99098 | (02) |