Individual
LESLIE SUZANNE DOMSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10500 QUIVIRA RD, OVERLAND PARK, KS 66215-2306
(913) 541-5275
Mailing address
8610 HOUSTON ST, LENEXA, KS 66227-2404
(620) 786-0624
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
53-77726-081
KS
Other
Enumeration date
06/20/2017
Last updated
10/30/2018
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