Provider Demographics
NPI:1326004490
Name:LEHRICH, DEBORAH ANNE (MD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ANNE
Last Name:LEHRICH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 111
Mailing Address - Street 2:
Mailing Address - City:HOMOSASSA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34447-0111
Mailing Address - Country:US
Mailing Address - Phone:352-201-3100
Mailing Address - Fax:352-260-0929
Practice Address - Street 1:8389 S SUNCOAST BLVD
Practice Address - Street 2:
Practice Address - City:HOMOSASSA
Practice Address - State:FL
Practice Address - Zip Code:34446-5028
Practice Address - Country:US
Practice Address - Phone:352-201-3100
Practice Address - Fax:352-260-0929
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME104408207R00000X
TXL5431207RH0003X
NJ25MA08130300207RH0003X
PAMD427819207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101513390Medicaid
H25707Medicare UPIN
PA101513390Medicaid