Laura Ly Allen N.P.

NPI 1760878839 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1760878839
Gender Female
Enumeration Date 04/15/2015
Last Updated 11/04/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
1011 BOWLES AVE
SUITE 300
FENTON MO, 63026-2395, US
Phone (636) 496-5000
Fax
Business Location
1515 WALL STREET
SUITE 310
ST CHARLES MO, 63303, US
Phone (636) 669-2268
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State Missouri
License Number 2015009121
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According to our database, Laura Ly Allen N.P. NPI is 1760878839, taxonomy code is 363LA2200X and license number is 2015009121, license state is located at Missouri. Laura Ly Allen N.P. physically located at 1011 Bowles Ave, Fenton MO, 63026-2395. NPI Number Laura Ly Allen N.P. has the Individual type.

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1760878839 NPI number is provided on an as is basis without warranty of any kind. 1760878839 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Ly Allen N.P. are for informational purposes only.