Provider Demographics
NPI:1659434397
Name:LECHAN, ALAN R (DPM)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:R
Last Name:LECHAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:966 RAY ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-6420
Mailing Address - Country:US
Mailing Address - Phone:508-679-6169
Mailing Address - Fax:508-672-9189
Practice Address - Street 1:966 RAY ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-6420
Practice Address - Country:US
Practice Address - Phone:508-679-6169
Practice Address - Fax:508-672-9189
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPD1837213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0361941Medicaid
T86189Medicare UPIN
MA0361941Medicaid
RI489004013Medicare ID - Type UnspecifiedMEDICARE PROVIDER # RI