Provider Demographics
NPI:1477681484
Name:LEKARCZYK, DOROTHY THORNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:THORNE
Last Name:LEKARCZYK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38104 MERIDIAN AVE
Mailing Address - Street 2:
Mailing Address - City:DADE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33525-3838
Mailing Address - Country:US
Mailing Address - Phone:352-567-6700
Mailing Address - Fax:352-567-6700
Practice Address - Street 1:38104 MERIDIAN AVE
Practice Address - Street 2:
Practice Address - City:DADE CITY
Practice Address - State:FL
Practice Address - Zip Code:33525-3838
Practice Address - Country:US
Practice Address - Phone:352-567-6700
Practice Address - Fax:352-567-6700
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY2386103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL75287Medicare ID - Type UnspecifiedBCBS OF FLORIDA