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Individual

MRS. ANN LUTZEIER PEICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
621 S. NEW BALLAS RD., SUITE 560A, ST LOUIS, MO 63141-8232
(314) 251-6440
(314) 251-4456
Mailing address
621 S. NEW BALLAS RD., SUITE 560A, SAINT LOUIS, MO 63141-8232
(314) 251-6440
(314) 251-4456

Taxonomy

Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
R6D37
MO
2086S0127X
Trauma Surgery Physician
Primary
R6D37
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020043388
RAILROAD MEDICARE
MO
01
113818
BLUE CROSS BLUE SHIELD
MO
01
142383
HEALTHLINK
MO
05
202330429
MO
01
46291V11170
HEALTHCARE USA
01
50809
GHP
MO
01
50809
GROUP HEALTH PLAN
01
710444
MERCY HEALTH PLAN
Enumeration date
03/08/2006
Last updated
03/07/2023
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