Healthcare Provider Details

I. General information

NPI: 1013913698
Provider Name (Legal Business Name): ALEX LECHTMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 10/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 W HILLSDALE AVE
VISALIA CA
93291-8222
US

IV. Provider business mailing address

5400 W. HILLSDALE AVE.
VISALIA CA
93291-8222
US

V. Phone/Fax

Practice location:
  • Phone: 559-738-7572
  • Fax: 559-741-2153
Mailing address:
  • Phone: 559-738-7572
  • Fax: 559-741-2153

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberG75188
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: