Individual
LENI ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3635 VISTA AVENUE, DESLOGE TOWER, 13TH FLOOR, ST. LOUIS, MO 63110
(314) 268-7992
Mailing address
3635 VISTA AVENUE, DESLOGE TOWER, 13TH FLOOR, ST. LOUIS, MO 63110
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30096
OK
207RC0000X
Cardiovascular Disease Physician
2017013690
MO
Other
Enumeration date
05/22/2013
Last updated
06/17/2020
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