Individual
LANA RENE MCCLEASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1549 GRAPE AVE, SAINT LOUIS, MO 63147-1403
(314) 601-4520
Mailing address
1549 GRAPE AVE, SAINT LOUIS, MO 63147-1403
(314) 601-4520
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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