NPI 1508328782

Lauren Marie Rackovan

Practitioner Obstetrics & Gynecology Physician Fenton, MO

Practice location

Address: 1011 Bowles Ave STE 215, Fenton, MO 63026-2387
Phone: (636) 680-1960
Mailing address: 517 Queens Court Pl, Saint Peters, MO 63376-7390

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 2018030932 (MO)

Other Obstetrics & Gynecology providers in Missouri →

Registry record

NPI: 1508328782
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Apr 2019
Record last updated: 4 Apr 2019

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.