Provider Demographics
NPI:1215021407
Name:LACHMAN, MARTIN JAY (MD)
Entity Type:Individual
Prefix:
First Name:MARTIN
Middle Name:JAY
Last Name:LACHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 ROBBINS ROAD
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-2880
Mailing Address - Country:US
Mailing Address - Phone:603-352-2009
Mailing Address - Fax:
Practice Address - Street 1:17 93 RD ST
Practice Address - Street 2:MONADNOCK FAMILY SERVICES
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3773
Practice Address - Country:US
Practice Address - Phone:603-357-5270
Practice Address - Fax:603-357-6875
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH108432084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30201376Medicaid
F58811Medicare UPIN