Provider Demographics
NPI:1558351080
Name:LECHMANICK, EUGENE ALEXANDER (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:ALEXANDER
Last Name:LECHMANICK
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 1:26 MEETINGHOUSE LN
Mailing Address - Street 2:
Mailing Address - City:BRADFORDWOODS
Mailing Address - State:PA
Mailing Address - Zip Code:15015-1311
Mailing Address - Country:US
Mailing Address - Phone:724-935-6983
Mailing Address - Fax:
Practice Address - Street 1:212 9TH ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-3517
Practice Address - Country:US
Practice Address - Phone:412-456-6911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-26
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA002266207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0008162100001Medicaid
PAB31226Medicare UPIN
PA07174Medicare ID - Type Unspecified