Individual
LENA KIESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8600 NORTH ROUTE 91, PEORIA, IL 61615
(309) 624-3250
Mailing address
8600 NORTH ROUTE 91, PEORIA, IL 61615
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041-245472
IL
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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