Individual
MRS. LAUREN ASHLEY MACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
4921 PARKVIEW PL, SAINT LOUIS, MO 63110-1032
(315) 747-7222
Mailing address
3846 SHAW BLVD, APT A, ST. LOUIS, MO 63110
(248) 563-0340
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2023005443
MO
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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