SearchIllinois367500000X

Walter Laesch, C.R.N.A

NPI 1639152952 · on the registry since 2005

Practice

Address
40 10 Riverknoll Dr
Champaign, IL 61822
Phone
(217) 356-5963
Fax
(217) 352-8947

Registry record

Primary taxonomy
367500000X
367500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-10-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois