Basic Information
| Provider Information | |||||||||
| NPI: | 1275042004 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GEHRING | ||||||||
| FirstName: | LESLEY | ||||||||
| MiddleName: | MARIE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 61 COVENTRY LN | ||||||||
| Address2: | |||||||||
| City: | LANGHORNE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190471666 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2679185100 | ||||||||
| FaxNumber: | 3135644059 | ||||||||
| Practice Location | |||||||||
| Address1: | 150 S WARNER RD STE 310 | ||||||||
| Address2: | |||||||||
| City: | KING OF PRUSSIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 194062860 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7732924800 | ||||||||
| FaxNumber: | 3125644059 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/25/2017 | ||||||||
| LastUpdateDate: | 09/25/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN9282781 | FL | N | Nursing Service Providers | Registered Nurse | 163W00000X | RN574355 | PA | Y | Nursing Service Providers | Registered Nurse |
No ID Information.