Individual
ERICA JANE PELINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A. - C
Contact information
Practice address
128 E COMMERCIAL ST, LEBANON, MO 65536-3257
(573) 302-3990
(573) 302-2753
Mailing address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 302-3990
(573) 302-2753
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2021042544
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1618PA
—
SC
05
—
1821371014
—
NC
05
—
22012848
—
MO
Enumeration date
09/23/2011
Last updated
04/01/2022
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