Individual
JUSTIN BRENT LENDERMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12303 DEPAUL DR, BRIDGETON, MO 63044
(314) 770-9393
(314) 770-9997
Mailing address
PO BOX 1127, MARYLAND HEIGHTS, MO 63043-0127
(314) 770-9393
(314) 770-9997
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036167324
IL
2085R0202X
Diagnostic Radiology Physician
Primary
2023025238
MO
2085R0204X
Vascular & Interventional Radiology Physician
2023025238
MO
Other
Enumeration date
04/24/2017
Last updated
08/22/2025
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