Individual
LEAH M LYSAGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
801 BRIM ST, DESLOGE, MO 63601-3441
(573) 431-0223
Mailing address
120 LOUISE ST, BONNE TERRE, MO 63628-1251
(573) 952-6225
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2023010869
MO
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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