Provider Demographics
NPI:1780653790
Name:LACHNIET, ALAN SCOTT (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:SCOTT
Last Name:LACHNIET
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 1:1675 LEAHY ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49442-5500
Mailing Address - Country:US
Mailing Address - Phone:231-722-7245
Mailing Address - Fax:231-722-6103
Practice Address - Street 1:1675 LEAHY ST
Practice Address - Street 2:SUITE 120
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49442-5500
Practice Address - Country:US
Practice Address - Phone:231-722-7245
Practice Address - Fax:231-722-6103
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAL032997207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1359288Medicaid
0F16382002Medicare ID - Type Unspecified
A73334Medicare UPIN