Individual
LISANDRO ROBERTO FORTUNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 BARNES JEW HOSP PLZ, SAINT LOUIS, MO 63110-1003
(314) 362-5000
Mailing address
660 S EUCLID AVE # 8118, SAINT LOUIS, MO 63110-1010
(314) 362-5000
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
97756
GA
207ZC0006X
Clinical Pathology Physician
036-161400
IL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
2019018934
MO
Other
Enumeration date
07/18/2019
Last updated
10/07/2025
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