MEDICARE: LACHANDA LEANN DUNLAP-WRIGHT

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	207V00000X	Obstetrics & Gynecology Physician	DO.OP.70038769-IMLC	WA
2	207V00000X	Obstetrics & Gynecology Physician	02006018A	IN
3	207V00000X	Obstetrics & Gynecology Physician	036.177018	IL
4	207V00000X	Obstetrics & Gynecology Physician	011800	AZ

General Provider Information

NPI Number	:	1447609870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LACHANDA LEANN DUNLAP-WRIGHT

Provider Business Mailing Address
First Line	:	233 E 13TH ST APT 1509
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60605-3252
Country	:	US
Telephone Number	:	254-630-4834
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 S LAKE PARK AVE STE 205
Second Line	:
City	:	HOBART
State	:	IN
Zip	:	46342-6791
Country	:	US
Telephone Number	:	219-942-8620
Fax Number	:	219-942-6356

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

Provider Enumeration Date	:	06/07/2016
Last Update Date	:	09/28/2025

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Directions to “ LACHANDA LEANN DUNLAP-WRIGHT ” Practice Location

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