Healthcare Provider Details
I. General information
NPI: 1932177938
Provider Name (Legal Business Name): BRENT LEE LECHNER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/08/2006
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
900 WASHINGTON RD
WEST POINT NY
10996-1109
US
IV. Provider business mailing address
900 WASHINGTON RD
WEST POINT NY
10996-1109
US
V. Phone/Fax
- Phone: 845-938-1382
- Fax:
- Phone: 845-938-1382
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0210X |
| Taxonomy | Pediatric Nephrology Physician |
| License Number | 1678 |
| License Number State | WV |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: