Healthcare Provider Details

I. General information

NPI: 1508387929
Provider Name (Legal Business Name): LORI ANN LEACH NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. LORI ANN ZELAZNY

II. Dates (important events)

Enumeration Date: 07/06/2017
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date: 09/29/2025
Reactivation Date: 10/29/2025

III. Provider practice location address

50 PLEASANT GROVE RD
MECHANICSBURG PA
17050
US

IV. Provider business mailing address

50 PLEASANT GROVE RD
MECHANICSBURG PA
17050
US

V. Phone/Fax

Practice location:
  • Phone: 717-483-2203
  • Fax: 717-703-2445
Mailing address:
  • Phone: 717-483-2203
  • Fax: 717-703-2445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberSP017628
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberSP017628
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: