Individual
LAURA ALICIA ADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 317-0600
(314) 317-0606
Mailing address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-4137
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
2008010689
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396954657
—
MO
Enumeration date
05/22/2007
Last updated
03/09/2022
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