Individual
LORELEI LEIBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3250 GORDONVILLE RD, SUITE 301, CAPE GIRARDEAU, MO 63703-5056
(573) 334-9641
(573) 331-4130
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
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
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