Individual
LEE MIESNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 W LIBERTY ST, FARMINGTON, MO 63640-1921
(573) 756-6451
Mailing address
300 MEINHARDT LN, PARK HILLS, MO 63601-8148
(573) 517-3105
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2023027404
MO
207L00000X
Anesthesiology Physician
20A19537
CA
Other
Enumeration date
03/27/2018
Last updated
09/18/2024
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