MEDICARE: LEIGH J LACHMAN MD

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	207YX0007X	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	141892	NY
2	208200000X	Plastic Surgery Physician	25MA04447000	NJ

General Provider Information

NPI Number	:	1518032317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEIGH J LACHMAN MD

Provider Business Mailing Address
First Line	:	22 OLD SHORT HILLS RD STE 101
Second Line	:
City	:	LIVINGSTON
State	:	NJ
Zip	:	07039-5605
Country	:	US
Telephone Number	:	212-752-7171
Fax Number	:	973-535-8384

Provider Business Practice Location Address
First Line	:	22 OLD SHORT HILLS RD STE 101
Second Line	:
City	:	LIVINGSTON
State	:	NJ
Zip	:	07039-5605
Country	:	US
Telephone Number	:	212-752-7171
Fax Number	:	973-535-8384

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

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	04/22/2023

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