MEDICARE: LORI C LECHIEN LMFT

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	106H00000X	Marriage & Family Therapist	LMFT163834	CA

General Provider Information

NPI Number	:	1457128928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI C LECHIEN LMFT

Provider Business Mailing Address
First Line	:	301 N LAKE AVE STE 600
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91101-5129
Country	:	US
Telephone Number	:	818-582-8333
Fax Number	:

Provider Business Practice Location Address
First Line	:	12843 LANDALE ST FL 3
Second Line	:
City	:	STUDIO CITY
State	:	CA
Zip	:	91604-1352
Country	:	US
Telephone Number	:	818-533-2319
Fax Number	:

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

Provider Enumeration Date	:	12/05/2023
Last Update Date	:	06/10/2026

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