Individual
DR. LAURA J GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6000
Mailing address
PO BOX 20452, COLUMBUS, OH 43220-0452
(614) 457-8180
(614) 583-3300
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
101150
MO
207ZH0000X
Hematology (Pathology) Physician
101150
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
101150
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208509117
—
MO
Enumeration date
07/28/2006
Last updated
07/08/2023
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