Individual
DR. LAUREN E HENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL, DEPT RADIATION ONCOLOGY, LL, SAINT LOUIS, MO 63110-1032
(314) 747-7236
(314) 747-9557
Mailing address
4511 FOREST PARK AVE, CB 8224, SAINT LOUIS, MO 63108-2138
(314) 362-9715
(314) 747-5499
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
2019024918
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200061650
—
MO
Enumeration date
06/12/2014
Last updated
11/15/2021
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