Individual
DR. LYNN ASHLEY CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8 W PINE CT, SAINT LOUIS, MO 63108-2110
(314) 367-0403
(314) 367-0178
Mailing address
4579 LACLEDE AVE, # 443, SAINT LOUIS, MO 63108-2103
(314) 367-0403
(314) 367-0178
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
2004017382
MO
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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