MEDICARE: GREGORY LACHAUD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207X00000X	Orthopaedic Surgery Physician	92943	GA

General Provider Information

NPI Number	:	1265895197
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GREGORY LACHAUD

Provider Business Mailing Address
First Line	:	900 CIRCLE 75 PKWY SE STE 1700
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-3087
Country	:	US
Telephone Number	:	770-953-6929
Fax Number	:	770-953-6972

Provider Business Practice Location Address
First Line	:	4125 HUNTERS PARK LN STE 117
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-7615
Country	:	US
Telephone Number	:	407-447-7006
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2016
Last Update Date	:	04/06/2026

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Directions to “ GREGORY LACHAUD ” Practice Location

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