Individual
STEPHANIE LICKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, ANP-BC
Contact information
Practice address
121 SAINT LUKES CENTER DR, STE 303, CHESTERFIELD, MO 63017-3509
(314) 434-3278
(314) 590-5949
Mailing address
121 SAINT LUKES CENTER DR, STE 303, CHESTERFIELD, MO 63017-3509
(314) 434-3278
(314) 590-5949
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2011006713
MO
Other
Enumeration date
04/22/2011
Last updated
10/02/2014
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