Healthcare Provider Details

I. General information

NPI: 1194063917
Provider Name (Legal Business Name): ALEXANDRA LACHMANN PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2013
Last Update Date: 05/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 P ST NE
WASHINGTON DC
20002
US

IV. Provider business mailing address

2000 S EADS ST APT 1005
ARLINGTON VA
22202-3166
US

V. Phone/Fax

Practice location:
  • Phone: 202-741-7692
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA030918
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: