Individual
MARISSA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
(314) 747-4156
Mailing address
2627 HEGER CT, SAINT LOUIS, MO 63110-3417
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2019016334
MO
Other
Enumeration date
07/06/2016
Last updated
10/25/2023
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