NPI 1659987295

Lake St. Louis Wigs and Cuts

Organisation Prosthetist Wentzville, MO

Practice location

Address: 950 Corporate Pkwy STE 100, Wentzville, MO 63385-4851
Phone: (636) 887-2193

Authorised official

Name: Susan Housewright
Title: President
Phone: (636) 887-2193

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1659987295
Entity type: Organization
NPI issued: 18 Sep 2020
Record last updated: 18 Sep 2020

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.