Individual
LAWRENCE PRABLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3015 N BALLAS RAOD, SAINT LOUIS, MO 63131
(314) 996-5000
(314) 317-0606
Mailing address
12125 WOODCREST EXECUTIVE DR, SUITE 220, SAINT LOUIS, MO 63141-5001
(314) 317-0600
(314) 317-0606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R2P07
MO
208M00000X
Hospitalist Physician
Primary
R2P07
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208235226
—
MO
Enumeration date
02/10/2006
Last updated
10/17/2007
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