Laesch, Shannon L

Laesch, Shannon L is an individual health care provider with primary practice located at 2103 E Washington St Ste 2C , Bloomington IL 61701-4365. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Laesch, Shannon L can be contacted via phone (309) 808-1450.

Contact Information

Primary practice address
2103 E Washington St Ste 2C Bloomington IL 61701-4365
Phone: (309) 808-1450
Fax: (949) 561-4829
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 209010219 Illinois

Profile Details

NPI number 1033559802
LBN Legal business name Laesch, Shannon L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2013
Last updated Mar 31st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers