Healthcare Provider Details

I. General information

NPI: 1104867100
Provider Name (Legal Business Name): WILLIAM JAMES LEHRICH DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 06/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15035 E 14TH ST SUITE A
SAN LEANDRO CA
94578-1901
US

IV. Provider business mailing address

15035 E 14TH ST SUITE A
SAN LEANDRO CA
94578-1901
US

V. Phone/Fax

Practice location:
  • Phone: 510-278-9350
  • Fax: 510-481-7490
Mailing address:
  • Phone: 510-278-9350
  • Fax: 510-481-7490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE1738
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: