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Individual

LAURA A ESSWEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
10024 WATSON RD, SAINT LOUIS, MO 63126-1829
(314) 919-2555
Mailing address
10024 WATSON RD, SAINT LOUIS, MO 63126-1829
(314) 919-2555
(314) 919-2577

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
109792
MO
208000000X
Pediatrics Physician
109792
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1174596860
MO
01
P01280989
RAILROAD MEDICARE
MO
Enumeration date
02/11/2006
Last updated
12/29/2014
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