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NPI Code Detail

MEDICARE: LAWRENCE PETER LEICHMAN M.D.

MEDICARE: LAWRENCE PETER LEICHMAN M.D.
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
1207RX0202XMedical Oncology PhysicianC42308CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891792305
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAWRENCE PETER LEICHMAN M.D.
Provider Business Mailing Address
First Line : PO BOX 232410
Second Line :
City : SAN DIEGO
State : CA
Zip : 92193-2410
Country : US
Telephone Number : 858-249-6749
Fax Number :
Provider Business Practice Location Address
First Line : 1180 N INDIAN CANYON DR
Second Line : STE E218
City : PALM SPRINGS
State : CA
Zip : 92262-4885
Country : US
Telephone Number : 760-416-4860
Fax Number : 760-416-4903
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 04/17/2017

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