Individual
DR. LISA RAE MOHRMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6400 CLAYTON RD STE 303, RICHMOND HEIGHTS, MO 63117-1850
(314) 408-7756
(314) 207-4943
Mailing address
PO BOX 959354, SAINT LOUIS, MO 63195-9354
(573) 705-1298
(573) 760-8293
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2013045164
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
12/12/2008
Last updated
04/10/2026
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