Provider Demographics
NPI:1104867100
Name:LEHRICH, WILLIAM JAMES (DPM)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JAMES
Last Name:LEHRICH
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15035 E 14TH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94578-1901
Mailing Address - Country:US
Mailing Address - Phone:510-278-9350
Mailing Address - Fax:510-481-7490
Practice Address - Street 1:15035 E 14TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94578-1901
Practice Address - Country:US
Practice Address - Phone:510-278-9350
Practice Address - Fax:510-481-7490
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE1738213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR007042Medicaid
CA480010688OtherMEDICARE RAILROAD
CAGR007042Medicaid
CA000E17383Medicare PIN
CA000E17380Medicare PIN
CA480010688OtherMEDICARE RAILROAD
T11049Medicare UPIN