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Organization

CLAYTON DERMATOLOGY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LUCIANN LISI HRUZA MD (PRESIDENT)
(314) 645-4500
Entity
Organization

Contact information

Practice address
816 S KIRKWOOD RD STE 210, SAINT LOUIS, MO 63122-6056
(314) 645-4500
(314) 645-5907
Mailing address
816 S KIRKWOOD RD STE 210, SAINT LOUIS, MO 63122-6056
(314) 645-4500
(314) 645-5907

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
100200
MO

Other

Enumeration date
08/19/2006
Last updated
03/15/2018
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