Individual
AMANDA RENEE LECHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1392
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1707PA
—
SC
Enumeration date
10/14/2005
Last updated
07/21/2022
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