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NPI Code Detail

MEDICARE: KATHRYN LERCH RN

MEDICARE: KATHRYN LERCH RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WS0200XSchool Registered NurseR237187MD

General Provider Information

NPI Number : 1013791904
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN LERCH RN
Provider Business Mailing Address
First Line : 8813 OLD FREDERICK RD
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21043-1923
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2685 LEEDS AVE
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29405-6861
Country : US
Telephone Number : 843-529-3130
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2023
Last Update Date : 08/22/2023

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