St Louis University

NPI #1013136266 in St Louis, Missouri

Provider Information

NPI Number: 1013136266
Entity Type: Organization
Organization Name: St Louis University
Primary Specialty: Audiologist
Enumeration Date: Apr 25, 2007
Last Updated: Sep 21, 2021

Practice Location

Address: 1225 SOUTH GRAND
Address 2: GL, DOOR 3
City: St Louis
State: Missouri
ZIP Code: 63104
Phone: (314) 977-5119

Authorized Official

Name: ALYCE LANXON
Title: EXECUTIVE DIRECTOR
Phone: (314) 977-6828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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