Jason Greer Lake M.D., M.P.H.

NPI 1609195189 - Pediatrics - 208000000X

NPI Details
NPI 1609195189
Gender Male
Enumeration Date 05/24/2010
Last Updated 07/03/2012
Entity Type Individual
Active Over 6 years ago
Practice Location
1 CHILDRENS PL
3S34
SAINT LOUIS MO, 63110-1002, US
Phone (314) 454-6006
Fax (314) 454-4102
Business Location
1 CHILDRENS PL
3S34
SAINT LOUIS MO, 63110-1002, US
Phone (314) 454-6006
Fax (314) 454-4102
Toxanomy
Taxonomy Code 208000000X
License State Missouri
License Number 2012015095
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According to our database, Dr. Jason Greer Lake M.D., M.P.H. NPI is 1609195189, taxonomy code is 208000000X and license number is 2012015095, license state is located at Missouri. Jason Greer Lake M.D., M.P.H. physically located at 1 Childrens Pl, Saint Louis MO, 63110-1002. NPI Number Jason Greer Lake M.D., M.P.H. has the Individual type.

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1609195189 NPI number is provided on an as is basis without warranty of any kind. 1609195189 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Greer Lake M.D., M.P.H. are for informational purposes only.