| Doctor Name: | MS. GWEN MARIE LECH |
| NPI Number: | 1023398724 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | GNP-BC |
| License Number: | SPO10396 |
| Business Practice Address: | 4508 Chestnut St Phila, PA - 191393608 |
| Business Phone Number: | 2157462127 |
| Business Fax Number: | |
| Mailing Address: | 227 Buckingham Pl, PHILA |
| State: | PA |
| Postal Code: | 191042920 |
| Phone Number: | 2153861094 |
| Fax Number: | |
| NPI Enumeration Date: | 08/25/2011 |
| NPI Last Update Date: | 08/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | SPO10396 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |