Individual
MRS. LANA SHANISE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4447 N HIGHWAY 67, FLORISSANT, MO 63034-2831
(314) 200-2399
(314) 202-7677
Mailing address
4447 N HIGHWAY 67, FLORISSANT, MO 63034-2831
(314) 200-2399
(314) 202-7677
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2010037157
MO
Other
Enumeration date
01/25/2012
Last updated
10/29/2025
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