Provider Demographics
NPI:1578777983
Name:KACHMAN, LYNDA S (RRT)
Entity Type:Individual
Prefix:MRS
First Name:LYNDA
Middle Name:S
Last Name:KACHMAN
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 E LAUCHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28352-5510
Mailing Address - Country:US
Mailing Address - Phone:910-276-7214
Mailing Address - Fax:910-610-1282
Practice Address - Street 1:609 E LAUCHWOOD DR
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-5510
Practice Address - Country:US
Practice Address - Phone:910-276-7214
Practice Address - Fax:910-610-1282
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC934852279G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7492722Medicaid