Individual
DR. GORDON LEE LERCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
63 N LAKEVIEW DR, SUITE 202, GIBBSBORO, NJ 08026-1026
(856) 435-6000
(856) 782-1667
Mailing address
402 LIPPINCOTT DR, MARLTON, NJ 08053-0598
(856) 782-3300
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB03948400
NJ
208000000X
Pediatrics Physician
25MB03948400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3670201
—
NJ
Enumeration date
09/24/2006
Last updated
02/06/2014
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