Provider Demographics
NPI:1417161548
Name:PRECHEL, LIEAH RAE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:LIEAH
Middle Name:RAE
Last Name:PRECHEL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MS
Other - First Name:LIEAH
Other - Middle Name:RAE
Other - Last Name:LORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:PO BOX 233
Mailing Address - Street 2:202 SOUTH MAIN ST
Mailing Address - City:LUCAN
Mailing Address - State:MN
Mailing Address - Zip Code:56255-0233
Mailing Address - Country:US
Mailing Address - Phone:507-747-3400
Mailing Address - Fax:
Practice Address - Street 1:106 N 4TH AVE
Practice Address - Street 2:
Practice Address - City:FERGUS FALLS
Practice Address - State:MN
Practice Address - Zip Code:56537-1034
Practice Address - Country:US
Practice Address - Phone:218-998-3778
Practice Address - Fax:218-998-3187
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNL0435578164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse