Individual
LAURA LYNN KLEEMANKLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
22 HAMMEL AVE, SAINT LOUIS, MO 63119-2213
(314) 578-5147
Mailing address
22 HAMMEL AVE, SAINT LOUIS, MO 63119-2213
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
103189
MO
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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