Lake Forest Emergency Group LLC
NPI #1023261716 in Lake St Louis, Missouri
Provider Information
- NPI Number
- 1023261716
- Entity Type
- Organization
- Organization Name
- Lake Forest Emergency Group LLC
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Oct 28, 2008
- Last Updated
- Jan 2, 2020
Practice Location
- Address
- 100 MEDICAL PLZ
- City
- Lake St Louis
- State
- Missouri
- ZIP Code
- 63367-1366
- Phone
- (636) 625-5200
Authorized Official
- Name
- LISHA C. FALK
- Title
- VP OF CONTRACTING
- Phone
- (800) 893-9698
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Nurse Practitioner |
| Emergency Medicine |
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