Provider Demographics
NPI:1770045023
Name:LECHNER, ANDREW J III (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:J
Last Name:LECHNER
Suffix:III
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 PENINSULA AVE APT 410
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-1532
Mailing Address - Country:US
Mailing Address - Phone:314-603-1026
Mailing Address - Fax:
Practice Address - Street 1:505 PARNASSUS AVE RM M-1480
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2204
Practice Address - Country:US
Practice Address - Phone:415-476-1529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-04
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program