Mr. Lawrence Lester Ciesemier
Internist - Allergy & Immunology
610 Rosewood Dr
Kirksville
, Missouri 63501-2477
Mr. Lawrence Lester Ciesemier
Internist - Allergy & Immunology
610 Rosewood Dr
Kirksville
, Missouri 63501-2477
(660) 665-0448
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About
Features
Specialties
- Internist - Allergy & Immunology
Languages spoken
- English
Location
First Address
- Mr. Lawrence Lester Ciesemier
- 610 Rosewood Dr
- Kirksville, MO
- Zip : 63501-2477
- Fax : (660) 665-0448
- Phone : (660) 627-2553
Second Address
- Mr. Lawrence Lester Ciesemier
- 610 Rosewood Dr
- Kirksville, MO
- Zip : 63501-2477
- Fax : (660) 665-0448
- Phone : (660) 627-2553
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0201X | Internist - Allergy & Immunology | 114081 | MO |
National Provider Identifier
| NPI | 1952464190 |
|---|---|
| Provider Name | Mr. Lawrence Lester Ciesemier |
| First Address | Kirksville, MO 63501-2477 |
| Second Address | Kirksville, MO 63501-2477 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/12/2006 |
| Last Update Date | 14/01/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 244792024 | (05) | MO |
| G89633 | (02) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.