Individual
LAURENCE PERLSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1225 GRAHAM RD, STE 2320C, FLORISSANT, MO 63031-8012
(314) 831-6883
(314) 831-3716
Mailing address
670 MASON RIDGE CENTER DR, STE. 300, SAINT LOUIS, MO 63141-8573
(314) 831-6883
(314) 831-3716
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R2G11
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208099713
—
MO
Enumeration date
08/31/2006
Last updated
11/08/2012
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