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Individual

MS. LAUREN M BREWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
4500 FOREST PARK AVE, DIV IM HEMATOLOGY, 6TH FL, SAINT LOUIS, MO 63108-2114
(314) 362-7216
(314) 696-1391
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-7216
(314) 696-1391

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2020011019
MO
363LF0000X
Family Nurse Practitioner
Primary
2020011019
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
420101387
MO
Enumeration date
08/05/2021
Last updated
04/15/2025
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