Provider Demographics
NPI:1275650236
Name:LACHENMAYR, RICHARD LAWRENCE (DMD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:LAWRENCE
Last Name:LACHENMAYR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 3RD AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ALPHA
Mailing Address - State:NJ
Mailing Address - Zip Code:08865-4709
Mailing Address - Country:US
Mailing Address - Phone:908-454-8400
Mailing Address - Fax:908-454-8443
Practice Address - Street 1:1150 3RD AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:ALPHA
Practice Address - State:NJ
Practice Address - Zip Code:08865-4709
Practice Address - Country:US
Practice Address - Phone:908-454-8400
Practice Address - Fax:908-454-8443
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI157511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice