Individual
DR. LATA MARY EAPEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
(314) 894-5770
(314) 894-5775
Mailing address
2008 BROOK HILL MANOR CT, CHESTERFIELD, MO 63017-7962
(636) 527-3744
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20033010052
MO
Other
Enumeration date
06/17/2006
Last updated
07/21/2022
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