Provider Demographics
NPI:1376625707
Name:LACHANT, NEIL A (MD)
Entity Type:Individual
Prefix:
First Name:NEIL
Middle Name:A
Last Name:LACHANT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:501 FELLOWSHIP RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-3419
Mailing Address - Country:US
Mailing Address - Phone:856-963-3572
Mailing Address - Fax:856-338-9211
Practice Address - Street 1:501 FELLOWSHIP RD
Practice Address - Street 2:SUITE 101
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-3419
Practice Address - Country:US
Practice Address - Phone:856-963-3572
Practice Address - Fax:856-338-9211
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2024-04-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY136955207RH0003X
NJMA075357207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ9058508Medicaid
1172158OtherHORIZON NJ HEALTH
191931OtherUNITED HEALTHCARE
3101822OtherAETNA
P2846372OtherOXFORD
2166921000OtherAMERIHEALTH, KEYSTONE IBC
3481174OtherCIGNA
35931OtherUNIVERSITY HEALTHPLAN
830008747OtherRR MEDICARE
A48704Medicare UPIN
2166921000OtherAMERIHEALTH, KEYSTONE IBC