Individual
LESA BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
927 NE COLUMBUS ST, LEES SUMMIT, MO 64086-2977
(816) 347-3270
(816) 524-2235
Mailing address
927 NE COLUMBUS ST, LEES SUMMIT, MO 64086-2977
(816) 347-3270
(816) 524-2235
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
091729
MO
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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