Individual
ALEXANDRA LELCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6815 118TH AVE, KENOSHA, WI 53142-8420
(262) 857-5600
(262) 857-1171
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
21245
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100182500
—
WI
Enumeration date
05/02/2016
Last updated
10/14/2024
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