Provider Demographics
NPI:1316057904
Name:LERCHIN, HARVEY ARTHUR (MD)
Entity type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:ARTHUR
Last Name:LERCHIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:250 BEL MARIN KEYS BLVD
Mailing Address - Street 2:B-4
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94949-5727
Mailing Address - Country:US
Mailing Address - Phone:415-382-0977
Mailing Address - Fax:415-382-0977
Practice Address - Street 1:250 BEL MARIN KEYS BLVD
Practice Address - Street 2:B-4
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94949-5727
Practice Address - Country:US
Practice Address - Phone:415-382-0977
Practice Address - Fax:415-382-0977
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC377282084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C377280Medicare UPIN
00C377280Medicare ID - Type Unspecified