NPI 1932311826
St Louis University
Practice location
- Address
- 1225 South Grand, 2l, Door 3, St Louis, MO 63104
- Phone
- (314) 977-5110
- Mailing address
- 3545 Lindell Blvd Fl 3, Saint Louis, MO 63103-1020
Authorised official
- Name
- Alyce Lanxon
- Title
- Exeuctive Director
- Phone
- (314) 977-6828
Registered specialties
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
Registry record
- NPI
- 1932311826
- Entity type
- Organization
- NPI issued
- 4 May 2007
- Record last updated
- 21 Sep 2021
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.