Individual
LISA BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRATITIONER
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 487-0400
Mailing address
3639 OREGON AVE, SAINT LOUIS, MO 63118-3805
(314) 865-1544
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2013027647
MO
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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