Stucker, Lesley R

Stucker, Lesley R is an sole proprietor health care provider with primary practice located at 2400 Poplar Ave , Guthrie Center IA 50115-8878. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Stucker, Lesley R can be contacted via phone (641) 747-3225.

Contact Information

Primary practice address
2400 Poplar Ave Guthrie Center IA 50115-8878
Phone: (641) 747-3225
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 02550 Iowa

Profile Details

NPI number 1679154991
LBN Legal business name Stucker, Lesley R
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2021
Last updated Apr 19th, 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 1679154991 NPPES
Other NA WELLMARK BLUE CROSS BLUE SHIELD

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