MEDICARE: BRIAN LECHER, PC

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
1	261QU0200X	Urgent Care Clinic/Center

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DD3740	OTHER	SC	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1124180732
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIAN LECHER, PC

Provider Business Mailing Address
First Line	:	3440 DECLARATION BLVD
Second Line	:
City	:	SUMTER
State	:	SC
Zip	:	29154-8139
Country	:	US
Telephone Number	:	803-905-3278
Fax Number	:	803-905-3282

Provider Business Practice Location Address
First Line	:	3440 DECLARATION BLVD
Second Line	:
City	:	SUMTER
State	:	SC
Zip	:	29154-8139
Country	:	US
Telephone Number	:	803-905-3278
Fax Number	:	803-905-3282

Authorized Official
Title or Position	:	OWNER
Name	:	MR. BRIAN R LECHER
Credential	:	D.O.
Telephone Number	:	803-905-3278

Provider Enumeration Date	:	12/14/2006
Last Update Date	:	09/27/2024

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