Provider Demographics
NPI:1295161826
Name:LACHMANN, HEINZ
Entity type:Individual
Prefix:MR
First Name:HEINZ
Middle Name:
Last Name:LACHMANN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 ALTA VISTA RD
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-3953
Mailing Address - Country:US
Mailing Address - Phone:415-583-5705
Mailing Address - Fax:800-883-5902
Practice Address - Street 1:701 ALTA VISTA RD
Practice Address - Street 2:
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-3953
Practice Address - Country:US
Practice Address - Phone:415-583-5705
Practice Address - Fax:800-883-5902
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-13
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53577106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist