Individual
LEE FARHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4220 N GRAND BLVD, SAINT LOUIS, MO 63107-1831
(314) 534-6624
(314) 535-4394
Mailing address
4220 N GRAND BLVD, SAINT LOUIS, MO 63107-1831
(314) 534-6624
(314) 535-4394
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041429937
IL
163W00000X
Registered Nurse
Primary
2015020569
MO
Other
Enumeration date
03/04/2019
Last updated
03/14/2019
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