MEDICARE: DR. FRED A LECHELER DPM.PA

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	213ES0131X	Foot Surgery Podiatrist	PO2782	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00226965	OTHER	FL	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821155029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRED A LECHELER DPM.PA

Provider Business Mailing Address
First Line	:	445 NORTH CAUSEWAY
Second Line	:
City	:	NEW SMYRNA BEACH
State	:	FL
Zip	:	32169-7316
Country	:	US
Telephone Number	:	386-427-4020
Fax Number	:	386-427-0451

Provider Business Practice Location Address
First Line	:	445 NORTH CAUSEWAY
Second Line	:
City	:	NEW SMYRNA BEACH
State	:	FL
Zip	:	32169-7316
Country	:	US
Telephone Number	:	386-427-4020
Fax Number	:	386-427-0451

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

Provider Enumeration Date	:	01/03/2007
Last Update Date	:	05/10/2016

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