Individual
FANGHUA LOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 BJC SAINT PETERS DR STE 200, SAINT PETERS, MO 63376-3386
(636) 916-9615
(636) 916-9850
Mailing address
PO BOX 959354, SAINT LOUIS, MO 63195-9354
(636) 916-9615
(636) 916-9850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2025036583
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
05/29/2026
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