L Billy Woundcare LLC

NPI #1912253865 in Saint Louis, Missouri

Provider Information

NPI Number: 1912253865
Entity Type: Organization
Organization Name: L Billy Woundcare LLC
Primary Specialty: Surgery
Enumeration Date: Jul 30, 2012
Last Updated: Jul 30, 2012

Practice Location

Address: 3933 S BROADWAY
Address 2: LIMB PRESERVATION CENTER
City: Saint Louis
State: Missouri
ZIP Code: 63118-4601
Phone: (314) 865-7000

Authorized Official

Name: LAWRENCE JOHN BILLY, MD
Title: REGISTERED AGENT
Phone: (636) 797-2611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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