Healthcare Provider Details

I. General information

NPI: 1124162482
Provider Name (Legal Business Name): WHITNEY ANNE LACHAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: WHITNEY ANNE GREEN

II. Dates (important events)

Enumeration Date: 02/19/2007
Last Update Date: 09/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 W RANDOL MILL RD FL 3
ARLINGTON TX
76012-2504
US

IV. Provider business mailing address

14275 MIDWAY RD SUITE 400
ADDISON TX
75001-3614
US

V. Phone/Fax

Practice location:
  • Phone: 817-960-6225
  • Fax: 817-960-6519
Mailing address:
  • Phone:
  • Fax: 610-271-4245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberM4261
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: