Individual
DR. LYNNE M SEACORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1020 N MASON RD, SAINT LOUIS, MO 63141-6300
(314) 362-1291
(314) 996-3269
Mailing address
660 S EUCLID AVE, C B 8086, SAINT LOUIS, MO 63110-1010
(314) 362-1291
(314) 996-3269
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R2F06
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202678512
—
MO
05
—
ENROLLED
—
IL
Enumeration date
08/19/2005
Last updated
01/29/2018
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