Doctor Name: | AMANDA RENEE LECHE |
NPI Number: | 1043209752 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | 1392 |
Business Practice Address: | 2755 S Highway 14 Suite 1200l Greer, SC - 296504902 |
Business Phone Number: | 8648499150 |
Business Fax Number: | 8648499334 |
Mailing Address: | Po Box 2168, Suite 300 Regional Healthplus SPARTANBURG |
State: | SC |
Postal Code: | 293042168 |
Phone Number: | 8645604304 |
Fax Number: | 8645604413 |
NPI Enumeration Date: | 10/14/2005 |
NPI Last Update Date: | 06/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 1392 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |