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Individual

LAUREN ELISE CARQUEVILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
1001 S KIRKWOOD RD STE 300, SAINT LOUIS, MO 63122-7250
(314) 525-4225
(314) 525-4229
Mailing address
1001 S KIRKWOOD RD STE 300, SAINT LOUIS, MO 63122-7250
(314) 525-4225
(314) 525-4229

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018003099
MO
363LF0000X
Family Nurse Practitioner
209010482
IL

Other

Enumeration date
06/14/2013
Last updated
03/01/2023
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