Individual
TAMMY LEBRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6651 CHIPPEWA ST STE 224, SAINT LOUIS, MO 63109-2531
(314) 645-6840
(314) 645-6847
Mailing address
1203 ASHFORD PLACE DR, O FALLON, MO 63366-2005
(870) 405-2956
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2019004300
MO
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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