Individual
MRS. LEESA K TILOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
725 HIGHWAY 1442, POPLAR BLUFF, MO 63901
(573) 776-2450
(573) 776-2455
Mailing address
725 HIGHWAY 1442, POPLAR BLUFF, MO 63901
(573) 776-2450
(573) 776-2455
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2000143576
MO
Other
Enumeration date
08/25/2006
Last updated
07/09/2007
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