Individual
REBECCA SUE LANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4921 PARKVIEW PL, SAINT LOUIS, MO 63110-1032
(314) 454-8134
Mailing address
742 VILLAGE WOOD CT, BALLWIN, MO 63021-6148
(253) 970-9366
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019005222
MO
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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