Provider Demographics
NPI:1427831478
Name:LECZNAR, CHRISTOPHER (MSN, APRN, ACCNS-AG)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:LECZNAR
Suffix:
Gender:M
Credentials:MSN, APRN, ACCNS-AG
Other - Prefix:
Other - First Name:CHRISTOPH
Other - Middle Name:
Other - Last Name:LECZNAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSN, APRN, ACCNS-AG
Mailing Address - Street 1:11382 OLD SCOTLAND RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-1858
Mailing Address - Country:US
Mailing Address - Phone:252-258-8331
Mailing Address - Fax:
Practice Address - Street 1:1213 E CLAY ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5071
Practice Address - Country:US
Practice Address - Phone:804-828-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024187791364SA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care