CHARLES J LEISTNER

LAWRENCE, KS
NPI1669002978
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KS  53-79245-121)
Enumeration Date2020-01-26
Last Update Date2020-01-26
Business Address
CHARLES J LEISTNER APRN
776 E 1485 RD
LAWRENCE, KS 66046-9265
Phone number: 785-917-1866
Mailing Address
CHARLES J LEISTNER APRN
776 E 1485 RD
LAWRENCE, KS 66046-9265
Phone number: 785-917-1866