Provider Demographics
NPI:1447714043
Name:MORSCHEISER, LESLIE LYNN
Entity type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:LYNN
Last Name:MORSCHEISER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:390 WOODRUFF ST
Mailing Address - Street 2:
Mailing Address - City:MARSEILLES
Mailing Address - State:IL
Mailing Address - Zip Code:61341-1546
Mailing Address - Country:US
Mailing Address - Phone:815-343-1419
Mailing Address - Fax:
Practice Address - Street 1:390 WOODRUFF ST
Practice Address - Street 2:
Practice Address - City:MARSEILLES
Practice Address - State:IL
Practice Address - Zip Code:61341-1546
Practice Address - Country:US
Practice Address - Phone:815-343-1419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No376K00000XNursing Service Related ProvidersNurse's Aide