MEDICARE: ROBERTO LACHICA MD INC

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	208200000X	Plastic Surgery Physician

General Provider Information

NPI Number	:	1447181185
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERTO LACHICA MD INC

Provider Business Mailing Address
First Line	:	601 WEST DR
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38112-1728
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 WEST DR
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38112-1728
Country	:	US
Telephone Number	:	901-210-1302
Fax Number	:

Authorized Official
Title or Position	:	MD, OWNER
Name	:	ROBERTO LACHICA
Credential	:	MD
Telephone Number	:	901-210-1302

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/28/2026

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