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Organization
ST LOUIS UNIVERSITY
Active
Organization
ST LOUIS UNIVERSITY
Active
Other names
SLUCARE DEPT OF PEDIATRIC NEONATAL PERINATAL MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
ALYCE LANXON (EXECUTIVE DIRECTOR)
(314) 977-6828
Entity
Organization
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5642
Mailing address
3545 LINDELL BLVD FL 3, SAINT LOUIS, MO 63103-1020
(314) 977-6828
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Enumeration date
04/27/2007
Last updated
09/21/2021
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