Individual
MR. LEO MICHAEL LAWLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO 63141-6393
(314) 744-4242
Mailing address
12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO 63141-6393
(781) 354-8889
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
PH16078
MA
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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