Individual
DR. LISA ANN ZICKUHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL, DIV IM RHEUMATOLOGY, STE 5C, SAINT LOUIS, MO 63110-1032
(314) 286-2635
(314) 286-2338
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 286-2635
(314) 286-2338
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
2014023582
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200021329
—
MO
Enumeration date
06/27/2012
Last updated
04/17/2025
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