Organization
DR. VEDA E. LEWIS-SIMMONS DPM MHA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VEDA E LEWIS SIMMONS DPM MHA (OWNER)
(314) 323-0669
Entity
Organization
Contact information
Practice address
10421 W FLORISSANT AVE, SAINT LOUIS, MO 63136-2342
(314) 524-4100
(314) 524-4101
Mailing address
PO BOX 12, O FALLON, MO 63366-0012
(314) 323-0669
(314) 524-4101
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
772
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08232038
ILLINOIS BLUE CROSS
IL
01
—
110194
BLUE CROSS BLUE SHIELD
MO
01
—
205061
ILLINOIS MEDICARE
IL
01
—
2708700
UNITED HEALTHCARE
MO
01
—
32420
GROUP HEALTH PLAN
MO
01
—
333503
HEALTHLINK
MO
01
—
50302
HEALTHCARE USA
MO
01
—
5316557
AETNA
MO
Enumeration date
02/12/2007
Last updated
12/21/2007
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