Individual
LESLY J CZAJKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, FNP-BC
Contact information
Practice address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(314) 996-5000
Mailing address
10 ROYALLPRAIRIE CT, O FALLON, MO 63368-6984
(636) 240-0069
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016024881
MO
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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