Individual
MRS. LESA RENEE' SEALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA-C
Contact information
Practice address
211 S. 3RD ST., BELLEVILLE, IL 62221
(618) 234-2120
(618) 641-5410
Mailing address
3215 EXECUTIVE PARK DR., HSHS MEDICAL GROUP, SPRINGFIELD, IL 62703
(618) 234-2120
(618) 641-5410
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
AA NOT LIC. BY STATE
IL
367H00000X
Anesthesiologist Assistant
Primary
161D
—
367H00000X
Anesthesiologist Assistant
2009028903
MO
Other
Enumeration date
02/03/2006
Last updated
07/27/2022
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