Individual
DR. DEREK LANCE HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 S BRENTWOOD BLVD, DIV NEUROLOGY STROKE, STE 600, SAINT LOUIS, MO 63144-1320
(314) 362-7382
(314) 747-3342
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-7382
(314) 747-3342
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2017022037
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200046936
—
MO
Enumeration date
03/21/2012
Last updated
04/17/2025
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