Individual
DR. LISA JOAN PFITZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12680 OLIVE BLVD STE 200, SAINT LOUIS, MO 63141-6322
(314) 529-5660
(314) 529-5665
Mailing address
12680 OLIVE BLVD STE 200, SAINT LOUIS, MO 63141-6322
(314) 529-5660
(314) 529-5665
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
36493
KY
2080C0008X
Child Abuse Pediatrics Physician
Primary
2022018676
MO
2080C0008X
Child Abuse Pediatrics Physician
36493
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3012736
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200885700
—
IN
05
—
64034259
—
KY
Enumeration date
08/10/2006
Last updated
09/06/2022
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