Provider Demographics
NPI:1194759001
Name:LECHER, DONNA J (ARNP BC)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:J
Last Name:LECHER
Suffix:
Gender:F
Credentials:ARNP BC
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:J
Other - Last Name:HOLTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:806 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47201-6264
Mailing Address - Country:US
Mailing Address - Phone:812-748-3412
Mailing Address - Fax:812-748-3413
Practice Address - Street 1:806 JACKSON ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47201
Practice Address - Country:US
Practice Address - Phone:812-748-3412
Practice Address - Fax:812-748-3413
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2018-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71000241207Q00000X
IN71000241A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN003937OtherSIHO
IN1000S1380AMedicaid
143350CMedicare ID - Type Unspecified
IN1000S1380AMedicaid
P74752Medicare UPIN