Individual
LECHIA FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C, PMHNP-BC
Contact information
Practice address
1912 LIBERTY RD SPC 30, ELDERSBURG, MD 21784-6690
(410) 861-0740
(434) 225-9723
Mailing address
5457 TWIN KNOLLS RD STE 300, COLUMBIA, MD 21045-3296
(410) 861-0740
(434) 225-9723
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R225396
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2019095324
MD
Other
Enumeration date
01/29/2015
Last updated
06/03/2021
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