Individual
MR. CONNOR PATRICK LEBSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4483 DUNCAN AVE, SAINT LOUIS, MO 63110-1111
(314) 454-7055
Mailing address
916 FAIRDALE AVE, SAINT LOUIS, MO 63119-1222
(314) 625-1608
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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