Provider Demographics
NPI:1063828515
Name:LEKARCZYK, ANITA GABRIELA (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ANITA
Middle Name:GABRIELA
Last Name:LEKARCZYK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:ANITA
Other - Middle Name:GABRIELA
Other - Last Name:LAZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:30 LOCUST STREET
Mailing Address - Street 2:COOLEY DICKINSON HOSPITAL
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060
Mailing Address - Country:US
Mailing Address - Phone:413-582-2363
Mailing Address - Fax:413-582-2914
Practice Address - Street 1:30 LOCUST STREET
Practice Address - Street 2:COOLEY DICKINSON HOSPITAL
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060
Practice Address - Country:US
Practice Address - Phone:413-582-2363
Practice Address - Fax:413-582-2914
Is Sole Proprietor?:No
Enumeration Date:2014-07-04
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant