Most Relevant Information
Provider Data
NPI Number: | 1003033382 |
Provider Name: | LESA RENEE NOBILING |
Entity Type: | Individual |
Taxonomy Code: | 171WH0202X |
Specialty: | Contractor |
License Number: |
Most Important Dates
Enumeration Date: | 04/19/2007 |
Last Updated: | 07/09/2007 |
Provider Practice Location
3245 FLETCHER AVE
LAKE CITY
IA
514497561
Practice Location Phone/Fax
Phone: | 7124647279 |
Fax: |
Provider Mailing Location
3245 FLETCHER AVE
LAKE CITY
IA
514497561
Provider Mailing Phone/Fax
Phone: | 7124647279 |
Fax: |