Provider Demographics
NPI:1205159845
Name:LECH, RAE ANN (PHARM D)
Entity type:Individual
Prefix:DR
First Name:RAE ANN
Middle Name:
Last Name:LECH
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 STEWART RD
Mailing Address - Street 2:
Mailing Address - City:HANOVER TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18706-1486
Mailing Address - Country:US
Mailing Address - Phone:570-821-0842
Mailing Address - Fax:570-821-0855
Practice Address - Street 1:153 STEWART RD
Practice Address - Street 2:
Practice Address - City:HANOVER TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:18706-1486
Practice Address - Country:US
Practice Address - Phone:570-821-0842
Practice Address - Fax:570-821-0855
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-10
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP4402651835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric