Individual
LAWANDA HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1459 COOLIDGE DR, SAINT LOUIS, MO 63132-2627
(314) 379-1155
Mailing address
1459 COOLIDGE DR, SAINT LOUIS, MO 63132-2627
(314) 379-1155
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99999999
CDS SERVICES
MO
Enumeration date
08/01/2018
Last updated
08/01/2018
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