Individual
LLILLY BRISTER-LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3470 HAMPTON AVE, 101-B, SAINT LOUIS, MO 63139-1946
(314) 620-7905
(314) 487-5830
Mailing address
3470 HAMPTON AVE, 101-B, SAINT LOUIS, MO 63139-1946
(314) 620-7905
(314) 487-5830
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
025722
MO
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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