Individual
LESLIE LAUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12255 DE PAUL DR, SUITE 700, BRIDGETON, MO 63044-2510
(314) 739-4166
(314) 739-2485
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 739-4166
(314) 739-2485
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R2J26
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010023
ESSENCE
MO
01
—
000000012460
ESSENCE ST CHARLES
MO
01
—
0400842
UHC
MO
01
—
103088
HEALTHLINK
MO
01
—
109346
BCBS
MO
01
—
127510
GHP
MO
05
—
202580411
—
MO
01
—
5418213
AETNA
MO
01
—
A25928
MERCY
MO
01
—
D04008
EXCLUSIVE CHOICE
MO
Enumeration date
11/09/2005
Last updated
09/21/2012
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