Organization
LEES ANESTHESIA SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID EARL LEES CRNA (PRESIDENT)
(618) 242-3979
Entity
Organization
Contact information
Practice address
1045 M L KING DR, CENTRALIA, IL 62801-3001
(618) 532-3110
(618) 532-7226
Mailing address
3650 E BISHOP RD, MOUNT VERNON, IL 62864-8292
(618) 242-3979
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN 041325048
IL
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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