| NPI | 1811969892 |
|---|---|
| Former Name | LESA RENEE' STOECKLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: 161D) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: MO 2009028903) |
| 163WP0000X Registered Nurse, Pain Management (Licence: IL AA not lic. by state) | |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2022-07-27 |