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Organization
LRT PROFESSIONAL HEALTH SERVICES INC
Active
Organization
LRT PROFESSIONAL HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LADONIA PAYNE WIKON MA (DIRECTOR)
(314) 521-1569
Entity
Organization
Contact information
Practice address
602 HUNTERS RIDGE DR, FERGUSON, MO 63135
(314) 521-1449
(315) 521-1569
Mailing address
602 HUNTERS RIDGE DR, FERGUSON, MO 63135
(314) 521-1569
(315) 521-1569
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MO
Other
Enumeration date
06/27/2007
Last updated
08/22/2020
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