Individual
MRS. THERESE MARIE LESMEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3002 GILL ST, SUITE#3, BLOOMINGTON, IL 61704-3438
(309) 846-4716
Mailing address
3002 GILL ST, SUITE#3, BLOOMINGTON, IL 61704-3438
(309) 846-4716
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
041174927
IL
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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