Individual
LAUREN WARD MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
55 WESTPORT PLZ, SUITE 470, SAINT LOUIS, MO 63146-3109
(314) 317-5429
(314) 514-1589
Mailing address
4242 LACLEDE AVE, UNIT 106, SAINT LOUIS, MO 63108-2884
(314) 371-1600
(314) 371-1600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00909
MO
225700000X
Massage Therapist
2001033179
MO
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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