Individual
LORELEI LEIBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2002014828
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639393275
TRIWEST
MO
05
—
1639393275
—
MO
01
—
926539
HEALTHLINK
MO
Enumeration date
04/13/2007
Last updated
03/03/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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