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Organization
ST LOUIS UNIVERSITY
Active
Organization
ST LOUIS UNIVERSITY
Active
Other names
SLUCare Department of Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALYCE LANXON (EXECUTIVE DIRECTOR)
(314) 977-6828
Entity
Organization
Contact information
Practice address
1225 SOUTH GRAND, 2L, DOOR 1, ST LOUIS, MO 63104
(314) 977-4440
Mailing address
3545 LINDELL BLVD FL 3, SAINT LOUIS, MO 63103-1020
(314) 977-6828
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
02/08/2006
Last updated
09/21/2021
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