Individual
KIRSTIN S LESAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1233 34TH ST NW, BEMIDJI, MN 56601-5112
(218) 333-5522
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
56545
WI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
57810
MN
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
7684
AK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2010
Last updated
07/27/2022
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