Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 226851 | MA |
N | 208600000X | Surgeon | 226851 | MA |
N | 2086X0206X | Surgical Oncologist | 226851 | MA |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | A140713 | CA |
NPI | 1215073853 |
---|---|
Provider Name | Walter J Lech |
First Address | Northbrook, IL 60062-1900 |
Second Address | Valley Village, CA 91607-3337 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 12/11/2018 |