Individual
LESA RENEE NOBILING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3245 FLETCHER AVE, LAKE CITY, IA 51449-7561
(712) 464-7279
Mailing address
3245 FLETCHER AVE, LAKE CITY, IA 51449-7561
(712) 464-7279
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
171WV0202X
Vehicle Modifications Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0427302
—
IA
Enumeration date
04/19/2007
Last updated
09/11/2025
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