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Individual

MRS. ERICKA LAUREN LOUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1 CHILDRENS PL STE C, STE C, SAINT LOUIS, MO 63110-1002
(314) 454-6124
(314) 454-4861
Mailing address
1 CHILDRENS PL, NWT 1230, SAINT LOUIS, MO 63110-1002
(314) 454-6124
(314) 454-4861

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015016090
MO
363LP0200X
Pediatric Nurse Practitioner
2015016090
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ENROLLED
IL
Enumeration date
12/18/2015
Last updated
01/24/2018
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