Individual
LEE A TARDINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN ANP
Contact information
Practice address
4 MEMORIAL DR STE 210, ALTON, IL 62002
(618) 463-5905
(618) 463-5935
Mailing address
4 MEMORIAL DR STE 210, ALTON, IL 62002-6751
(618) 463-5905
(618) 463-5935
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
148611
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
209-000751
IL
Other
Enumeration date
08/31/2006
Last updated
06/29/2018
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