Basic Information
Provider Information
NPI: 1407017254
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LACHIEWICZ
FirstName: ANNE
MiddleName: MONICA
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 130 MASON FARM RD # 7030
Address2:  
City: CHAPEL HILL
State: NC
PostalCode: 275997030
CountryCode: US
TelephoneNumber: 9199662537
FaxNumber: 9199666714
Practice Location
Address1: 101 MANNING DR
Address2:  
City: CHAPEL HILL
State: NC
PostalCode: 275144220
CountryCode: US
TelephoneNumber: 9849745100
FaxNumber: 9849745697
Other Information
ProviderEnumerationDate: 06/24/2008
LastUpdateDate: 10/24/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200X2011-01398NCY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


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