Provider Demographics
NPI:1487988440
Name:LECHLITER, KATARZYNA M (MD)
Entity type:Individual
Prefix:DR
First Name:KATARZYNA
Middle Name:M
Last Name:LECHLITER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KATARZYNA
Other - Middle Name:MAGDALENA
Other - Last Name:KALKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 12622
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4017
Mailing Address - Country:US
Mailing Address - Phone:443-481-6566
Mailing Address - Fax:443-481-6515
Practice Address - Street 1:2001 MEDICAL PARKWAY
Practice Address - Street 2:ACUTE CARE PAVILION
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3280
Practice Address - Country:US
Practice Address - Phone:443-481-1000
Practice Address - Fax:443-481-1687
Is Sole Proprietor?:No
Enumeration Date:2009-09-23
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD69449207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
V8260026OtherCAREFIRST
607156012OtherDEPT OF LABOR
MD418651600Medicaid
95624103OtherCAREFIRST
95624103OtherCAREFIRST
V8260026OtherCAREFIRST