Individual
MS. LISA E SOMMERHAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
111 S MERAMEC AVE, SAINT LOUIS, MO 63105-1711
(314) 615-1628
Mailing address
111 S MERAMEC AVE, SAINT LOUIS, MO 63105-1711
(314) 615-1628
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
107646
MO
163WC1400X
College Health Registered Nurse
107646
MO
Other
Enumeration date
11/23/2008
Last updated
10/10/2011
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