Whalio Doctors

NPI 1811969892

Lesa Renee' Seales, AAC

Practitioner Anesthesiologist Assistant Belleville, IL

Practice location

Address
211 S. 3rd St., Belleville, IL 62221
Phone
(618) 234-2120
Fax
(618) 641-5410
Mailing address
3215 Executive Park Dr. Hshs Medical Group, Springfield, IL 62703

Registered specialties (3)

Anesthesiologist Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 161D
Anesthesiologist Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 2009028903 (MO)
Pain Management Registered Nurse
Nursing Service Providers Taxonomy 163WP0000X Licence AA NOT LIC. BY STATE (IL)

Registry record

NPI
1811969892
Entity type
Individual
Sex (as registered)
Female
NPI issued
3 Feb 2006
Record last updated
27 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.