Individual
LESIE WOBIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
777 MURPHY RD, MEDFORD, OR 97504-8425
(541) 772-2763
Mailing address
4069 S PACIFIC HWY SPC 132, MEDFORD, OR 97501-9007
(541) 772-2763
(541) 734-3164
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201130024LPN
OR
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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