Lerch, Gordon Lee
Lerch, Gordon Lee is an individual health care provider with primary practice located at 63 N Lakeview Dr Suite 202, Gibbsboro NJ 08026-1026. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Lerch, Gordon Lee can be contacted via phone (856) 435-6000.Contact Information
Primary practice address
63 N Lakeview Dr Suite 202
Gibbsboro NJ 08026-1026
Phone: (856) 435-6000
Fax: (856) 782-1667
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MB03948400 | New Jersey |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MB03948400 | New Jersey |
Profile Details
NPI number | 1790885275 |
---|---|
LBN Legal business name | Lerch, Gordon Lee |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 24th, 2006 |
Last updated | Feb 6th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790885275 | NPPES |
New Jersey | MEDICAID | 3670201 |
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