Individual
MR. JASON LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1465 S GRAND BLVD RM 2717, SAINT LOUIS, MO 63104-1003
(314) 268-4070
(314) 268-4019
Mailing address
1465 S GRAND BLVD RM 2717, SAINT LOUIS, MO 63104-1003
(314) 268-4070
(314) 268-4019
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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