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NPI Code Detail

MEDICARE: GARY S. LACHENMYER P.A.

MEDICARE: GARY S. LACHENMYER P.A.
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
1363A00000XPhysician AssistantPA00640OR

General Provider Information

NPI Number : 1821095928
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARY S. LACHENMYER P.A.
Provider Business Mailing Address
First Line : 2200 NE NEFF RD
Second Line : STE 200
City : BEND
State : OR
Zip : 97701-4281
Country : US
Telephone Number : 541-382-3344
Fax Number : 541-382-1681
Provider Business Practice Location Address
First Line : 2200 NE NEFF RD.
Second Line : STE 200
City : BEND
State : OR
Zip : 97701-4281
Country : US
Telephone Number : 541-382-3344
Fax Number : 541-382-1681
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2005
Last Update Date : 03/04/2025

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Directions to “ GARY S. LACHENMYER P.A.” Practice Location

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