Krystal I Lea, LPN
NPI #1720107139 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1720107139
- Entity Type
- Individual
- Name
- Krystal I Lea, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Mar 28, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 210 HOOVER ST
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65109-0800
- Phone
- (573) 632-4321
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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