Individual
MR. LANOR EARL PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 N 17TH ST, 203, SAINT LOUIS, MO 63103-2336
(314) 261-3538
Mailing address
210 N 17TH ST, 203, SAINT LOUIS, MO 63103-2336
(314) 261-3538
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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