Provider Demographics
NPI:1376543892
Name:LECHTMAN, ALLEN L (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:L
Last Name:LECHTMAN
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 1:72430 SENA CT
Mailing Address - Street 2:
Mailing Address - City:THOUSAND PALMS
Mailing Address - State:CA
Mailing Address - Zip Code:92276-3377
Mailing Address - Country:US
Mailing Address - Phone:760-343-5222
Mailing Address - Fax:760-343-5222
Practice Address - Street 1:39700 BOB HOPE DR
Practice Address - Street 2:SUITE 301
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-3267
Practice Address - Country:US
Practice Address - Phone:760-346-7696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-27
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC32988207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C329880Medicare PIN
CAA35129Medicare UPIN