Provider Demographics
NPI:1528040599
Name:LACHMAN, MARILYN ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:MARILYN
Middle Name:ELIZABETH
Last Name:LACHMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9346 US HIGHWAY 431
Mailing Address - Street 2:
Mailing Address - City:ALBERTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35950-0104
Mailing Address - Country:US
Mailing Address - Phone:256-894-4669
Mailing Address - Fax:256-894-4671
Practice Address - Street 1:9346 US HIGHWAY 431
Practice Address - Street 2:
Practice Address - City:ALBERTVILLE
Practice Address - State:AL
Practice Address - Zip Code:35950-0104
Practice Address - Country:US
Practice Address - Phone:256-894-4669
Practice Address - Fax:256-894-4671
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL000215722084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009983880Medicaid
AL000098848Medicaid
AL009936544Medicaid
AL51528961OtherBCBS
AL009928775Medicaid
AL009979380Medicaid
AL009934298Medicaid
000057512LACMedicare ID - Type Unspecified
AL51528961OtherBCBS
AL009936544Medicaid
AL009979380Medicaid