Healthcare Provider Details

I. General information

NPI: 1770563090
Provider Name (Legal Business Name): DEBORAH JOY LEKARCZYK AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2006
Last Update Date: 03/24/2021
Certification Date: 03/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 MEDICAL ARTS BLVD STE 50
ANDERSON IN
46011-3459
US

IV. Provider business mailing address

750 N COMMONS DR STE 200
AURORA IL
60504-7940
US

V. Phone/Fax

Practice location:
  • Phone: 765-683-0752
  • Fax: 765-298-5826
Mailing address:
  • Phone: 630-303-5380
  • Fax: 630-303-5385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number23002019A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: