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Individual

LISA TRITTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7301 PRINCETON AVE, UNIVERSITY CITY, MO 63130-2923
(314) 200-5050
Mailing address
7301 PRINCETON AVE, UNIVERSITY CITY, MO 63130-2923
(314) 200-5050

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01057237
IN
208000000X
Pediatrics Physician
036.148965
IL
208000000X
Pediatrics Physician
2024041787
MO
2080B0002X
Pediatric Obesity Medicine Physician
Primary
2024041787
MO
2080B0002X
Pediatric Obesity Medicine Physician
74526
MN

Other

Enumeration date
10/12/2006
Last updated
11/16/2024
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