Individual
LISA J ALDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3635 VISTA AVE, FDT 13TH FLOOR, SAINT LOUIS, MO 63110-2539
(314) 577-8894
(314) 577-8861
Mailing address
3635 VISTA AVE, FDT 13TH FLOOR, SAINT LOUIS, MO 63110-2539
(314) 577-8894
(314) 577-8861
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2005029372
MO
207RC0000X
Cardiovascular Disease Physician
2005029372
MO
Other
Enumeration date
06/14/2006
Last updated
09/13/2011
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