Organization
NEUAGE LSL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ALIBERTI (OWNER)
(314) 220-0272
Entity
Organization
Contact information
Practice address
6105 RONALD REAGAN DR, LAKE ST LOUIS, MO 63367-2678
(314) 721-9990
Mailing address
6105 RONALD REAGAN DR, LAKE ST LOUIS, MO 63367-2678
(314) 721-9990
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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