Individual
LESA JAN SUITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
MARION VA MEDICAL CENTER, 2401 W. MAIN ST., MARION, IL 62959
(618) 997-5311
Mailing address
MARION VA MEDICAL CENTER, 2401 W. MAIN ST., MARION, IL 62959
(618) 997-5311
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.354787
IL
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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