Lerch, Gordon Lee

Lerch, Gordon Lee is an individual health care provider with primary practice located at 63 N Lakeview Dr Suite 202, Gibbsboro NJ 08026-1026. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Lerch, Gordon Lee can be contacted via phone (856) 435-6000.

Contact Information

Primary practice address
63 N Lakeview Dr Suite 202 Gibbsboro NJ 08026-1026
Phone: (856) 435-6000
Fax: (856) 782-1667
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MB03948400 New Jersey
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MB03948400 New Jersey

Profile Details

NPI number 1790885275
LBN Legal business name Lerch, Gordon Lee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2006
Last updated Feb 6th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790885275 NPPES
New Jersey MEDICAID 3670201

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