KRYSTAL LEA, LPN

Licensed Practical Nurse

Active Individual
NPI: 1720107139

Practice Address

210 HOOVER ST
Jefferson City, MO 65109

Phone: (573) 632-4321

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes 2006030951 (MO)

Frequently Asked Questions

NPI 1720107139 is the National Provider Identifier for KRYSTAL LEA, LPN, a Licensed Practical Nurse provider located in Jefferson City, MO. This NPI was enumerated on March 28, 2007.
KRYSTAL LEA, LPN practices at 210 HOOVER ST, Jefferson City, MO 65109.

Quick Facts

NPI
1720107139
Type
Individual
Enumerated
Mar 28, 2007
Last Updated
Jul 8, 2007

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