Provider Demographics
NPI:1043338718
Name:LACHMANN, ELISABETH AMANDA (MD)
Entity type:Individual
Prefix:
First Name:ELISABETH
Middle Name:AMANDA
Last Name:LACHMANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 1/2 E 62ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7301
Mailing Address - Country:US
Mailing Address - Phone:212-535-3005
Mailing Address - Fax:212-288-7796
Practice Address - Street 1:117 1/2 E 62ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-7301
Practice Address - Country:US
Practice Address - Phone:212-535-3005
Practice Address - Fax:212-288-7796
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1767441174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist