Leible, Lorelei

Leible, Lorelei is an individual health care provider with primary practice located at 3250 Gordonville Rd Suite 301, Cape Girardeau MO 63703-5056. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Leible, Lorelei can be contacted via phone (573) 334-9641.

Contact Information

Primary practice address
3250 Gordonville Rd Suite 301 Cape Girardeau MO 63703-5056
Phone: (573) 334-9641
Fax: (573) 331-4130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2002014828 Missouri

Profile Details

NPI number 1639393275
LBN Legal business name Leible, Lorelei
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2007
Last updated Mar 3rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639393275 NPPES
Missouri MEDICAID 1639393275
Missouri Other 1639393275
Missouri Other 926539

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