Individual
LAURA C HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
112 PIPER HILL DR, SUITE 9, SAINT PETERS, MO 63376-1690
(636) 441-3444
(636) 926-2858
Mailing address
112 PIPER HILL DR, SUITE 9, SAINT PETERS, MO 63376-1690
(636) 441-3444
(636) 926-2858
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2002028066
MO
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00657543
RR MEDICARE
MO
Enumeration date
11/22/2005
Last updated
06/09/2009
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