Provider Demographics
NPI:1760756647
Name:FRANK LACHOWSKY M.D., P.A.
Entity Type:Organization
Organization Name:FRANK LACHOWSKY M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:LACHOWSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-932-9434
Mailing Address - Street 1:41 FAIRPOINT DR
Mailing Address - Street 2:SUITE F
Mailing Address - City:GULF BREEZE
Mailing Address - State:FL
Mailing Address - Zip Code:32561-4396
Mailing Address - Country:US
Mailing Address - Phone:850-932-9434
Mailing Address - Fax:
Practice Address - Street 1:41 FAIRPOINT DR
Practice Address - Street 2:SUITE F
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32561-4396
Practice Address - Country:US
Practice Address - Phone:850-932-9434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-24
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME67710207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty