Individual
LEAANN WEDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-1600
(573) 596-0555
Mailing address
11 SUNRISE DR, LEBANON, MO 65536-3483
(417) 664-3298
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2004023620
MO
Other
Enumeration date
09/12/2017
Last updated
09/12/2017
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