Individual
LAUREN N THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5859 S KINGSHIGHWAY BLVD FL 1, SAINT LOUIS, MO 63109-3571
(314) 669-6242
Mailing address
5859 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63109-3571
(314) 669-6242
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MO
Other
Enumeration date
12/17/2018
Last updated
04/06/2021
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