Lerch was born in Sacramento, California and attended Cordova High School in Rancho Cordova, California.
Lerch was drafted by the Philadelphia Phillies in 1973 and debuted in the major leagues with the Phillies in September 1975. His first full season was 1977, and he was a mainstay in the Phillies' pitching rotation from 1977 until 1980, when he began pitching more in relief.
On September 30, 1978, Lerch hit two home runs in a 10–8 win that clinched the National League (NL) East Division championship for the Phillies.

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