Lesly J Czajkowski, RN, BSN, FNP-BC
Nurse Practitioner, Family in Saint Louis, MO. Individual provider (NPI-1).
NPI number1669956512
StatusActive
Last updated in NPPESSep 17, 2018
Details
- NPI
- 1669956512
- Entity type
- Individual (NPI-1)
- Name
- Lesly J Czajkowski
- Credential
- RN, BSN, FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 17, 2018
- Last updated
- Sep 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2016024881 | MO | Yes |
Practice location
3015 N Ballas RdSaint Louis, MO 63131-2329
Phone 314-996-5000
Mailing address
10 Royallprairie CtO Fallon, MO 63368-6984
Phone 636-240-0069
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