Organization
ST LOUIS UNIVERSITY
Active
Organization
ST LOUIS UNIVERSITY
Active
Other names
SLUCare Department of Internal Medicine
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 3,4, ST LOUIS, MO 63104
(314) 977-6164
Mailing address
3545 LINDELL BLVD FL 3, SAINT LOUIS, MO 63103-1020
(314) 977-6828
(314) 977-6872
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
2085N0904X
Nuclear Radiology Physician
—
—
Other
Enumeration date
02/08/2006
Last updated
09/21/2021
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