Individual
SANDRA THERESA LERCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C FNP CNM
Contact information
Practice address
320 E BROADWAY, STE 1C, JACKSON, WY 83001
(307) 733-4585
(307) 733-4787
Mailing address
PO BOX 9487, JACKSON, WY 83002-9487
(307) 733-4585
(307) 733-4787
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
WY180540164
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11694100
—
WY
Enumeration date
06/07/2006
Last updated
10/31/2016
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