NPI Code Detail JSON Logo

1902052434 NPI number — MOLLY FITZPATRICK LECHTENBERG DPT

NPI Number: 1902052434
Health Care Provider/Practitioner: MOLLY FITZPATRICK LECHTENBERG DPT

Information about “1902052434” NPI (MOLLY FITZPATRICK LECHTENBERG DPT) exists in 1902052434 in HTML format HTML  |  1902052434 in plain Text format TXT  |  1902052434 in PDF (Portable Document Format) PDF  |  1902052434 in an XML format XML  formats.

NPI Number : 1902052434 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902052434",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LECHTENBERG",
    "FirstName": "MOLLY",
    "MiddleName": "FITZPATRICK",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FITZPATRICK",
    "OtherFirstName": "MOLLY",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "D.P.T.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2614 BEAVER AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DES MOINES",
    "MailingAddressStateName": "IA",
    "MailingAddressPostalCode": "50310",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "712-204-0761",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1901 VETERANS MEMORIAL DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TEMPLE",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76504-7451",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "254-743-2103",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/15/2008",
    "LastUpdateDate": "11/17/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "004258",
        "LicenseNumberStateCode": "IA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.