Individual
DELORES Z. LESSEIG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 CROWN DR, SUITE 104, KIRKSVILLE, MO 63501-2510
(660) 665-7500
(660) 665-7546
Mailing address
1 CROWN DR, SUITE 104, KIRKSVILLE, MO 63501-2510
(660) 665-7500
(660) 665-7546
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN 044415
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108439
BLUE CROSS/BLUE SHIELD
MO
01
—
264204
COMMERCIAL
—
Enumeration date
05/20/2006
Last updated
07/08/2007
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