Healthcare Provider Details
I. General information
NPI: 1114963295
Provider Name (Legal Business Name): ROBERT B LECHNER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/20/2006
Last Update Date: 04/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4199 GATEWAY BLVD THE WOMENS HOSPITAL
NEWBURGH IN
47630
US
IV. Provider business mailing address
PO BOX 637275
CINCINNATI OH
45263-0001
US
V. Phone/Fax
- Phone: 812-842-4200
- Fax:
- Phone: 812-473-0181
- Fax: 812-473-5822
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | 01056836A |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: