Individual
RYAN LERCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1116 NIKKI VIEW DR, BRANDON, FL 33511-4868
(855) 832-6727
Mailing address
4575 SE DIXIE HWY, STUART, FL 34997-6826
(813) 481-9555
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/09/2017
Last updated
12/09/2017
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