Provider Demographics
NPI:1225204332
Name:STEPHAN C. LENCHNER, M.D.
Entity Type:Organization
Organization Name:STEPHAN C. LENCHNER, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHAN
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:LENCHNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-681-7373
Mailing Address - Street 1:334 S PATTERSON AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-2400
Mailing Address - Country:US
Mailing Address - Phone:805-681-7373
Mailing Address - Fax:805-681-3232
Practice Address - Street 1:334 S PATTERSON AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-2400
Practice Address - Country:US
Practice Address - Phone:805-681-7373
Practice Address - Fax:805-681-3232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA42939207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A429390Medicaid
CAE20532Medicare UPIN
CAA42939AMedicare PIN