Whalio Doctors

NPI 1184168320

Llilly Brister-Lewis

Practitioner Nursing Care Agency Saint Louis, MO

Practice location

Address
3470 Hampton Ave 101-B, Saint Louis, MO 63139-1946
Phone
(314) 620-7905
Fax
(314) 487-5830

Registered specialties

Nursing Care Agency Primary
Agencies Taxonomy 251J00000X Licence 025722 (MO)

Registry record

NPI
1184168320
Entity type
Individual
Sex (as registered)
Female
NPI issued
7 Dec 2016
Record last updated
7 Dec 2016

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.