Provider Demographics
NPI:1821607045
Name:LECHNER, MATTHIAS ALEXANDER (MD, PHD)
Entity Type:Individual
Prefix:
First Name:MATTHIAS
Middle Name:ALEXANDER
Last Name:LECHNER
Suffix:
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 1:1283 CLARK WAY UNIT 32
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-2379
Mailing Address - Country:US
Mailing Address - Phone:650-495-6626
Mailing Address - Fax:
Practice Address - Street 1:801 WELCH RD DEPT OF
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1611
Practice Address - Country:US
Practice Address - Phone:650-495-6626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASPI646207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology