Individual
MR. LAWRENCE LESTER CIESEMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
610 ROSEWOOD DR, KIRKSVILLE, MO 63501-2477
(660) 627-2553
(660) 665-0448
Mailing address
610 ROSEWOOD DR, KIRKSVILLE, MO 63501-2477
(660) 627-2553
(660) 665-0448
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
114081
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
244792024
—
MO
Enumeration date
12/19/2006
Last updated
08/12/2024
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