MEDICARE: DR. MICHAEL J LECHLEITER D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	685	LA

General Provider Information

NPI Number	:	1275539280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL J LECHLEITER D.C.

Provider Business Mailing Address
First Line	:	PO BOX 15335
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70175-5335
Country	:	US
Telephone Number	:	504-566-1833
Fax Number	:	504-566-1833

Provider Business Practice Location Address
First Line	:	1529 JACKSON AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70130-5829
Country	:	US
Telephone Number	:	504-566-1833
Fax Number	:	504-566-1833

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	07/08/2007

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