| David M. Lechuga, Ph.d., A.p.c. | |
|
13 Orchard Suite 103 Lake Forest CA 92630-8320 | |
| (949) 837-3358 | |
| (949) 837-0274 |
| Full Name | David M. Lechuga, Ph.d., A.p.c. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 13 Orchard, Lake Forest, California |
| Authorized Official Name and Position | David M Lechuga (PRESIDENT) |
| Authorized Official Contact | 9498373358 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David M. Lechuga, Ph.d., A.p.c. 13 Orchard Suite 103 Lake Forest CA 92630-8320 Ph: (949) 837-3358 | David M. Lechuga, Ph.d., A.p.c. 13 Orchard Suite 103 Lake Forest CA 92630-8320 Ph: (949) 837-3358 |
| NPI Number | 1083954325 |
|---|---|
| Provider Enumeration Date | 02/24/2013 |
| Last Update Date | 02/24/2013 |
| Medicare PECOS PAC ID | 8022263458 |
|---|---|
| Medicare Enrollment ID | O20130308000385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083954325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PSY10139 (California) | Primary |
| Provider Name | David Michael Lechuga |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982712386 PECOS PAC ID: 2062412208 Enrollment ID: I20070111000314 |
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