Provider Demographics
NPI:1780275065
Name:LECHOWICZ, ADAM J
Entity type:Individual
Prefix:MR
First Name:ADAM
Middle Name:J
Last Name:LECHOWICZ
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:PO BOX 2775
Mailing Address - Street 2:
Mailing Address - City:SITKA
Mailing Address - State:AK
Mailing Address - Zip Code:99835-2775
Mailing Address - Country:US
Mailing Address - Phone:219-671-7675
Mailing Address - Fax:
Practice Address - Street 1:216 LANCE DR
Practice Address - Street 2:
Practice Address - City:SITKA
Practice Address - State:AK
Practice Address - Zip Code:99835-9749
Practice Address - Country:US
Practice Address - Phone:907-747-5303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker