Individual
MRS. LESLIE ANN LAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
500 EAST VETERANS STREET, TOMAH, WI 54660
(608) 372-3971
(608) 371-1692
Mailing address
500 EAST VETERANS STREET, TOMAH, WI 54660
(608) 372-3971
(608) 371-1692
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9582-33
WI
Other
Enumeration date
10/03/2019
Last updated
04/01/2024
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