DR. Tara Rognan, D.O.

NPI #1598147886 in Lake St Louis, Missouri

Provider Information

NPI Number: 1598147886
Entity Type: Individual
Name: DR. Tara Rognan, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Jun 23, 2015
Last Updated: Nov 20, 2020

Practice Location

Address: 400 MEDICAL PLZ STE 200
City: Lake St Louis
State: Missouri
ZIP Code: 63367-1417
Phone: (636) 625-2662

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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