Provider Demographics
NPI:1467746651
Name:LACHER, CASSANDRA J (DO)
Entity Type:Individual
Prefix:DR
First Name:CASSANDRA
Middle Name:J
Last Name:LACHER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:BOURBONNAIS
Mailing Address - State:IL
Mailing Address - Zip Code:60914-4689
Mailing Address - Country:US
Mailing Address - Phone:815-933-9660
Mailing Address - Fax:812-886-6566
Practice Address - Street 1:200 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:BOURBONNAIS
Practice Address - State:IL
Practice Address - Zip Code:60914-4689
Practice Address - Country:US
Practice Address - Phone:815-933-9660
Practice Address - Fax:812-886-6566
Is Sole Proprietor?:No
Enumeration Date:2011-06-05
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02005519A207RX0202X
IL036163032207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI200000045870OtherPHP
MI1467746651Medicaid