Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | ME17165 | FL |
NPI | 1003894031 |
---|---|
Provider Name | Dr. Benjamin Lechner |
First Address | Hallandale Beach, FL 33009-3765 |
Second Address | Hallandale Beach, FL 33009-3765 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2006 |
Last Update Date | 27/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D59791 | (02) | FL |