Life Line Surgical Services LLC

NPI #1851629356 in Saint Louis, Missouri

Provider Information

NPI Number: 1851629356
Entity Type: Organization
Organization Name: Life Line Surgical Services LLC
Primary Specialty: Surgery
Enumeration Date: Nov 23, 2009
Last Updated: Feb 7, 2023

Practice Location

Address: 10004 KENNERLY RD
Address 2: SUITE 330-A
City: Saint Louis
State: Missouri
ZIP Code: 63128-2141
Phone: (314) 718-9947

Authorized Official

Name: MS. DELLA ARIDGE, NP
Title: NURSE/MANAGER
Phone: (314) 591-1125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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