Provider Demographics
NPI:1871327593
Name:HERZL, LEA P
Entity type:Individual
Prefix:
First Name:LEA
Middle Name:P
Last Name:HERZL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 STONEHOUSE DR
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-3338
Mailing Address - Country:US
Mailing Address - Phone:845-521-0923
Mailing Address - Fax:
Practice Address - Street 1:10 STONEHOUSE DR
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-3338
Practice Address - Country:US
Practice Address - Phone:845-521-0923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula