Individual
LAUREN PRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
621 S NEW BALLAS RD STE 7011B, SAINT LOUIS, MO 63141-8275
(314) 251-6840
Mailing address
621 S NEW BALLAS RD STE 7011B, SAINT LOUIS, MO 63141-8275
(314) 251-6840
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2023001018
MO
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/26/2022
Last updated
01/30/2023
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