MEDICARE: ALINA LECH 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
1	163W00000X	Registered Nurse	2011006970	MO

General Provider Information

NPI Number	:	1740683952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALINA LECH RN

Provider Business Mailing Address
First Line	:	1019 TAMAN CT APT D
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63122-6828
Country	:	US
Telephone Number	:	314-965-7153
Fax Number	:

Provider Business Practice Location Address
First Line	:	1019 TAMAN CT APT D
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63122-6828
Country	:	US
Telephone Number	:	314-965-7153
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2014
Last Update Date	:	10/01/2014

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