# ADVANCE PRACTICE SURGICAL ASSISTING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699168633
- **Authorized official:** MR. DEREK LAMBERT NP-C (NURSE PRACTITIONER)
- **Authorized official phone:** (636) 288-5225

## Contact information

- **Practice address:** 1334 HERITAGE PKWY, WENTZVILLE, MO 63385-3570
- **Practice address phone:** (636) 288-5225
- **Mailing address:** 1334 HERITAGE PKWY, WENTZVILLE, MO 63385-3570
- **Mailing address phone:** (636) 288-5225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 2015008642 | MO | Yes |

## Other

- **Enumeration date:** 03/16/2015
- **Last updated:** 04/20/2015