Provider Demographics
NPI:1376926410
Name:LERCHEN, FRANK CHAMPION III
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:CHAMPION
Last Name:LERCHEN
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9584 56TH AVE APT D
Mailing Address - Street 2:
Mailing Address - City:HUDSONVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49426-7305
Mailing Address - Country:US
Mailing Address - Phone:231-923-6803
Mailing Address - Fax:
Practice Address - Street 1:9584 56TH AVE APT D
Practice Address - Street 2:
Practice Address - City:HUDSONVILLE
Practice Address - State:MI
Practice Address - Zip Code:49426-7305
Practice Address - Country:US
Practice Address - Phone:231-923-6803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer