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Individual

DR. LAWRENCE A KRIEGSHAUSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12639 OLD TESSON RD, SUITE 115, SAINT LOUIS, MO 63128-2786
(314) 849-0311
(314) 849-4423
Mailing address
12639 OLD TESSON RD, SUITE 115, SAINT LOUIS, MO 63128-2786
(314) 849-0311
(314) 849-4423

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
R9464
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0900065
UNITED HEALTH CARE
MO
01
1000804
HEALTHLINK
MO
01
200021370
RAILROAD MEDICARE
MO
05
201995115
MO
01
25644
BLUE CROSS BLUE SHIELD
MO
01
3132535003
CIGNA
MO
01
4000568
AETNA
MO
01
41657
GROUP HEALTH PLAN
MO
Enumeration date
05/10/2006
Last updated
07/17/2019
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