Connie Leas

NPI #1982173415 in Festus, Missouri

Provider Information

NPI Number: 1982173415
Entity Type: Individual
Name: Connie Leas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Nov 14, 2018
Last Updated: Nov 14, 2018

Practice Location

Address: 227 MAIN ST
City: Festus
State: Missouri
ZIP Code: 63028-1952
Phone: (636) 931-2700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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