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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