Individual
LEE ANN SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12255 DEPAUL DRIVE SUITE 200, BRIDGETON, MO 63044
(314) 355-3355
(314) 355-6584
Mailing address
20047 HIDDEN LAKES LN, BRIGHTON, IL 62012-3631
(314) 355-3355
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2013036193
MO
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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