NPI 1073257598

Noah Lees

Practitioner Athletic Trainer Peoria, IL

Practice location

Address: 2901 W Winterberry Ln, Peoria, IL 61604-1831
Phone: (309) 258-9682

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1073257598
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Apr 2022
Record last updated: 5 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.