Provider Demographics
NPI:1669558664
Name:LECHY, ROBERT M
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:M
Last Name:LECHY
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 1:16200 19 MILE
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-0070
Mailing Address - Country:US
Mailing Address - Phone:586-263-8652
Mailing Address - Fax:
Practice Address - Street 1:16200 19 MILE
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-0070
Practice Address - Country:US
Practice Address - Phone:586-263-8652
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301037827207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0805047821OtherMI BLUE CROSS
MI4894635Medicaid
MIA76606Medicare UPIN